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. 2025 Feb 6;12:1529523. doi: 10.3389/fcvm.2025.1529523

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© 2025 Zhou, Fu, Jiang and Guo.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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(A,B) A preoperative transesophageal echocardiogram demonstrates left coronary sinus perivalvular leakage (green arrow) and a thickened leaflet (yellow outlined arrow). (C) A postimplantation transesophageal echocardiogram demonstrates the absence of paravalvular regurgitation. A self-expanding valve bottom skirt fits left ventricular outflow to eliminate perivalvular regurgitation (blue arrow). (D) A final angiogram further confirms the absence of valvular or paravalvular regurgitation. (E) Coronary angiography demonstrates an obstruction of the proximal RCA. AO, ascending aorta; LA, left atrium; LV, left ventricular; RV, right ventricular.