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When an incomplete ring is present, paravalvular leak is commonly encountered after tricuspid valve\u2010in\u2010ring (TViR) implant; however, this can be addressed with paravalvular leak closure devices. Multimodality imaging including cardiac computed tomography and three\u2010dimensional (3D) transesophageal echocardiography (TEE) are important for successful TViR implant. We report a case of tricuspid regurgitation after tricuspid repair with an incomplete annuloplasty ring and subsequent paravalvular leak closure.<\/jats:p>","DOI":"10.1111\/echo.14743","type":"journal-article","created":{"date-parts":[[2020,5,30]],"date-time":"2020-05-30T05:45:28Z","timestamp":1590817528000},"page":"913-916","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Multimodality imaging to guide transcatheter treatment of severe degenerative tricuspid regurgitation with tricuspid valve\u2010in\u2010ring implantation and paravalvular leak closure"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9833-9069","authenticated-orcid":false,"given":"Andrew C.","family":"Peters","sequence":"first","affiliation":[{"name":"Northwestern University Feinberg School of Medicine Chicago IL 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