{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T13:33:59Z","timestamp":1777901639056,"version":"3.51.4"},"reference-count":7,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Science Progress"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>A patient who underwent mechanical aortic and mitral valve replacement developed three paravalvular leaks 10 months later. We located the tracks by puncturing the apex cordis under transoesophageal echocardiography guidance alone and puncturing the femoral artery guided by fluoroscopy. Three paravalvular leaks were occluded with a hybridization method simultaneously. The patient was followed up for 24 months and maintained a good condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Multiple paravalvular leaks after double valve replacement can be occluded in patients by the use of different approaches under echocardiographic guidance alone.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00368504211058554","type":"journal-article","created":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T10:11:55Z","timestamp":1638353515000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Transcatheter closure of multiple paravalvular leaks by a transapical approach under echocardiographic guidance: A case report"],"prefix":"10.1177","volume":"104","author":[{"given":"Kang","family":"Yi","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Gansu Provincial Hospital, China"},{"name":"Gansu International Scientific and Technological Cooperation Base of Diagnosis and Treatment of Congenital Heart Disease, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fang-Hui","family":"Ding","sequence":"additional","affiliation":[{"name":"The Fifth Department of General Surgery, The First Hospital of Lanzhou University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1338-6630","authenticated-orcid":false,"given":"Tao","family":"You","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Gansu Provincial Hospital, China"},{"name":"Gansu International Scientific and Technological Cooperation Base of Diagnosis and Treatment of Congenital Heart Disease, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hong-Xin","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Shandong Provincial Qianfoshan Hospital, The First Hospital Affiliated with Shandong First Medical University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian-Guo","family":"Xu","sequence":"additional","affiliation":[{"name":"Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiao-Dong","family":"Hou","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Gansu Provincial Hospital, China"},{"name":"Gansu International Scientific and Technological Cooperation Base of Diagnosis and Treatment of Congenital Heart Disease, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin-Kuan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Gansu Provincial Hospital, China"},{"name":"Gansu International Scientific and Technological Cooperation Base of Diagnosis and Treatment of Congenital Heart Disease, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Gansu International Scientific and Technological Cooperation Base of Diagnosis and Treatment of Congenital Heart Disease, China"},{"name":"The First School of Clinical Medical of Gansu University of Chinese Medicine, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,12,1]]},"reference":[{"key":"bibr1-00368504211058554","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehw165"},{"key":"bibr2-00368504211058554","doi-asserted-by":"publisher","DOI":"10.1111\/joic.12295"},{"key":"bibr3-00368504211058554","doi-asserted-by":"publisher","DOI":"10.1007\/s11886-018-0959-x"},{"key":"bibr4-00368504211058554","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2016.08.038"},{"key":"bibr5-00368504211058554","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.02.537"},{"key":"bibr6-00368504211058554","doi-asserted-by":"publisher","DOI":"10.1111\/aor.12757"},{"key":"bibr7-00368504211058554","doi-asserted-by":"publisher","DOI":"10.1038\/s41569-018-0147-0"}],"container-title":["Science 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