{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T08:31:16Z","timestamp":1763454676328,"version":"3.45.0"},"reference-count":5,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,9,3]],"date-time":"2019-09-03T00:00:00Z","timestamp":1567468800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Cardiac Surgery"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Concern for early degeneration limits the use of bioprosthetic heart valves. A 77\u2010year\u2010old man who underwent surgical aortic valve replacement at age 70 for severe aortic stenosis (AoS) presented with premature bioprosthesis degeneration and AoS recurrence. Transthoracic echocardiography demonstrated severe AoS and aortic regurgitation, a 30% ejection fraction, and pulmonary hypertension. Transesophageal echocardiography revealed that the aortic regurgitation was due to a 5\u2010mm paravalvular leak (PVL). A high EuroScoreII excluded surgical treatment. Simultaneous transcatheter aortic valve replacement and PVL closure with an Occlutech PLD Square 5 Twist PVL closure device were performed with good results and improved clinical status.<\/jats:p>","DOI":"10.1111\/jocs.14240","type":"journal-article","created":{"date-parts":[[2019,9,3]],"date-time":"2019-09-03T03:39:51Z","timestamp":1567481991000},"page":"1408-1410","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Percutaneous valve\u2010in\u2010valve procedure and simultaneous paravalvular leak closure"],"prefix":"10.1155","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9293-7535","authenticated-orcid":false,"given":"Dinu V.","family":"Balanescu","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Sfanta Maria Clinical Hospital Bucharest Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodor","family":"Cebotaru","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Monza Hospital Bucharest Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian C.","family":"Iancu","sequence":"additional","affiliation":[{"name":"Department of Cardiology Heart Institute Iuliu Hatieganu University of Medicine and Pharmacy Cluj\u2010Napoca Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ioana M.","family":"Dregoesc","sequence":"additional","affiliation":[{"name":"Department of Cardiology Heart Institute Iuliu Hatieganu University of Medicine and Pharmacy Cluj\u2010Napoca Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4949-3064","authenticated-orcid":false,"given":"Serban M.","family":"Balanescu","sequence":"additional","affiliation":[{"name":"Department of Cardiology Elias Emergency University Hospital Carol Davila University of Medicine and Pharmacy Bucharest Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,9,3]]},"reference":[{"key":"e_1_2_4_1_2_1","doi-asserted-by":"crossref","first-page":"132","DOI":"10.14797\/mdcj-13-3-132","article-title":"Transcatheter aortic valve\u2010in\u2010valve procedure in patients with bioprosthetic structural valve deterioration","volume":"13","author":"Reul RM","year":"2017","journal-title":"Methodist Debakey Cardiovasc J"},{"key":"e_1_2_4_1_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/heart.89.11.1316"},{"key":"e_1_2_4_1_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(98)01031-5"},{"key":"e_1_2_4_1_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx391"},{"key":"e_1_2_4_1_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26439"}],"container-title":["Journal of Cardiac Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjocs.14240","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocs.14240","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocs.14240","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocs.14240","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T08:28:54Z","timestamp":1763454534000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocs.14240"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9,3]]},"references-count":5,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1111\/jocs.14240"],"URL":"https:\/\/doi.org\/10.1111\/jocs.14240","archive":["Portico"],"relation":{},"ISSN":["0886-0440"],"issn-type":[{"type":"print","value":"0886-0440"}],"subject":[],"published":{"date-parts":[[2019,9,3]]},"assertion":[{"value":"2019-09-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}