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A 55-year-old man had mechanical aortic valve replacement for aortic regurgitation. During follow-up, precordial echocardiography revealed paravalvular leak (PVL) and moderate residual aortic regurgitation. Percutaneous closure of the leak was recommended, and Amplatzer® vascular plug (9-PLUG-012, AGA Medical Corporation, Plymouth, MN, USA) was implanted under general anaesthesia with fluoroscopic and transoesophageal echocardiography (TOE) guidance. After the procedure, sudden onset of ventricular …
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