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Unearthing the Tunnel.

Authors :: Nemshah Y
Sharma A
Hamid N
Rahim H
Ng V
George I
Nazif T
Vahl T
Kodali S
Hahn R
Khalique O
Source :: JACC. Case reports [JACC Case Rep] 2022 Feb 16; Vol. 4 (4), pp. 241-246. Date of Electronic Publication: 2022 Feb 16 (Print Publication: 2022).
Publication Year :: 2022
Abstract: We present a unique case of a paravalvular leak through a periannular channel around a bioprosthetic mitral valve. The role of multimodality imaging, in addition to novel technology, helped uncover the complex course of the jet, including its origin and direction, which translated into excellent procedural success. ( Level of Difficulty: Advanced. ).<br />Competing Interests: Dr Nemshah has received an educational scholarship from King Fahad Medical City through the Saudi Arabian Cultural Mission in Washington, DC. Dr George has received consulting fees from W.L. Gore & Associates, Vdyne, Cardiomech, Mitremedical, and Atricure. Dr Nazif has received consulting fees for or honoraria from Edwards Lifesciences, Medtronic, Venus Medtech, and Boston Scientific. Dr Vahl has received institutional funding to Columbia University Irving Medical Center from Boston Scientific, Edwards Lifesciences, JenaValve, Medtronic, and Siemens Healthineers; and has received consulting fees from Abbott Vascular, Boston Scientific, and Siemens Healthineers. Dr Kodali has served as a consultant for and received honoraria from Admedus, Meril Lifesciences, JenaValve, and Abbott Vascular; has reported membership on the scientific advisory boards and equity in Dura Biotech, MicroInterventional Devices, Thubrikar Aortic Valve Inc, Supira, and Admedus; and has received institutional funding to Columbia University and/or the Cardiovascular Research Foundation from Edwards Lifesciences, Medtronic, Abbott Vascular, Boston Scientific, and JenaValve. Dr. Hahn has received speaker fees from Abbott Structural, Edwards Lifesciences, and Philips Healthcare; has received institutional consulting contracts with Abbott Structural, Boston Scientific, Edwards Lifesciences, and W.L. Gore & Associates; has received equity in Navigate; and is the Chief Scientific Officer for the Echocardiography Core Laboratory at the Cardiovascular Research Foundation for multiple industry-sponsored trials, for which she receives no direct industry compensation. Dr Khalique has received consulting fees from Abbott Structural and Boston Scientific; and has received Speakers Bureau fees from Edwards Lifesciences. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.<br /> (© 2022 Published by Elsevier on behalf of the American College of Cardiology Foundation.)