{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T20:46:51Z","timestamp":1791838011542,"version":"4.3.4"},"reference-count":15,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jacc.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JACC: Case Reports"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.jaccas.2026.110655","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T20:05:13Z","timestamp":1791835513000},"page":"110655","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Adaptive Sealing in Protruding LVOT Calcification During TAVR"],"prefix":"10.1016","author":[{"given":"Ahmed M.","family":"Salem","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karan","family":"Rao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Norman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noman","family":"Ali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael S.","family":"Cunnington","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Blackman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher J.","family":"Malkin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jaccas.2026.110655_bib1","doi-asserted-by":"crossref","first-page":"4635","DOI":"10.1093\/eurheartj\/ehaf194","article-title":"2025 ESC\/EACTS guidelines for the management of valvular heart disease: developed by the task force for the management of valvular heart disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)","volume":"46","author":"Praz","year":"2025","journal-title":"Eur Heart J"},{"key":"10.1016\/j.jaccas.2026.110655_bib2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jcmg.2018.12.003","article-title":"Computed tomography imaging in the context of transcatheter aortic valve implantation (TAVI)\/transcatheter aortic valve replacement (TAVR): an expert consensus document of the Society of Cardiovascular Computed Tomography","volume":"12","author":"Blanke","year":"2019","journal-title":"JACC Cardiovasc Imaging"},{"key":"10.1016\/j.jaccas.2026.110655_bib3","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1161\/CIRCULATIONAHA.113.002947","article-title":"Anatomical and procedural features associated with aortic root rupture during balloon-expandable transcatheter aortic valve replacement","volume":"128","author":"Barbanti","year":"2013","journal-title":"Circulation"},{"key":"10.1016\/j.jaccas.2026.110655_bib4","doi-asserted-by":"crossref","first-page":"e1417","DOI":"10.4244\/EIJ-D-21-00464","article-title":"Impact of left ventricular outflow tract calcification in patients undergoing transfemoral transcatheter aortic valve implantation","volume":"17","author":"Waldschmidt","year":"2022","journal-title":"EuroIntervention"},{"key":"10.1016\/j.jaccas.2026.110655_bib5","doi-asserted-by":"crossref","first-page":"1789","DOI":"10.1016\/j.jcin.2020.04.015","article-title":"Impact of left ventricular outflow tract calcification on procedural outcomes after transcatheter aortic valve replacement","volume":"13","author":"Okuno","year":"2020","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.jaccas.2026.110655_bib6","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jcin.2014.07.020","article-title":"Annular rupture during transcatheter aortic valve replacement: classification, pathophysiology, diagnostics, treatment approaches, and prevention","volume":"8","author":"Pasic","year":"2015","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.jaccas.2026.110655_bib7","doi-asserted-by":"crossref","first-page":"248","DOI":"10.4244\/EIJ-D-22-01108","article-title":"Thirty-day and one-year outcomes of the Navitor transcatheter heart valve in patients with aortic stenosis: the prospective, multicentre, global PORTICO NG Study","volume":"19","author":"Sondergaard","year":"2023","journal-title":"EuroIntervention"},{"key":"10.1016\/j.jaccas.2026.110655_bib8","doi-asserted-by":"crossref","first-page":"2517","DOI":"10.1016\/j.jcin.2025.08.021","article-title":"30-day and 1-year outcomes of navitor transcatheter aortic valve in Low- or intermediate-risk patients","volume":"18","author":"Worthley","year":"2025","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.jaccas.2026.110655_bib9","doi-asserted-by":"crossref","first-page":"2717","DOI":"10.1016\/j.jacc.2021.02.038","article-title":"Valve academic research consortium 3: updated endpoint definitions for aortic valve clinical research","volume":"77","author":"G\u00e9n\u00e9reux","year":"2021","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jaccas.2026.110655_bib10","doi-asserted-by":"crossref","first-page":"1125","DOI":"10.1016\/j.jacc.2012.08.1039","article-title":"Paravalvular leak after transcatheter aortic valve replacement: the new Achilles\u2019 heel? A comprehensive review of the literature","volume":"61","author":"G\u00e9n\u00e9reux","year":"2013","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jaccas.2026.110655_bib11","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1093\/eurheartj\/ehu384","article-title":"Paravalvular regurgitation after transcatheter aortic valve replacement with the Edwards sapien valve in the PARTNER trial: characterizing patients and impact on outcomes","volume":"36","author":"Kodali","year":"2015","journal-title":"Eur Heart J"},{"key":"10.1016\/j.jaccas.2026.110655_bib12","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1186\/s12872-023-03397-3","article-title":"Comparison of outcomes of self-expanding versus balloon-expandable valves for transcatheter aortic valve replacement: a meta-analysis of randomized and propensity-matched studies","volume":"23","author":"Wang","year":"2023","journal-title":"BMC Cardiovasc Disord"},{"key":"10.1016\/j.jaccas.2026.110655_bib13","doi-asserted-by":"crossref","first-page":"3016","DOI":"10.3390\/jcm15083016","article-title":"New-onset left bundle branch block after TAVI: an updated review","volume":"15","author":"Mayol","year":"2026","journal-title":"J Clin Med"},{"key":"10.1016\/j.jaccas.2026.110655_bib14","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/j.ipej.2024.03.003","article-title":"Depth of implantation in relation to membranous septum as a predictor of conduction disturbances after transcatheter aortic valve implantation","volume":"24","author":"Baraka","year":"2024","journal-title":"Indian Pacing Electrophysiol J"},{"key":"10.1016\/j.jaccas.2026.110655_bib15","article-title":"The prognostic relevance of a new bundle branch block after transcatheter aortic valve implantation: a systematic review and meta-analysis","volume":"9","author":"Rao","year":"2025","journal-title":"Struct Hear"}],"container-title":["JACC: Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666084926038155?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666084926038155?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T20:05:15Z","timestamp":1791835515000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2666084926038155"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":15,"alternative-id":["S2666084926038155"],"URL":"https:\/\/doi.org\/10.1016\/j.jaccas.2026.110655","relation":{},"ISSN":["2666-0849"],"issn-type":[{"value":"2666-0849","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Adaptive Sealing in Protruding LVOT Calcification During TAVR","name":"articletitle","label":"Article Title"},{"value":"JACC: Case Reports","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jaccas.2026.110655","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation.","name":"copyright","label":"Copyright"}],"article-number":"110655"}}