Welcome to our JUNE 24 issue of #JACCCaseReports @JACCJournals jacc.org/journal/case-report… with a mini-focus on leaflet modification to coincide with the #JACCINT special issue and to celebrate the 10-year anniversary of leaflet modification (LAMPOON). We are also promoting a mini-focus issue on valvular heart disease to coincide #NYValves2026. Thank you @CraigBasman @TagliariPaula @KarlPoonMD for authoring the Editor’s Page: Valvular Heart Disease: From Guidelines to the Bedside jacc.org/doi/10.1016/j.jacca… Full PDF here: jacc.org/doi/10.1016/S2666-0… @minnowwalsh @hmkyale @Justine_Turco LEAFLET MODIFICATION Transcatheter Electrosurgery for Coronary Access After TAVI-in-TAVI jacc.org/doi/10.1016/j.jacca… Editorial Comment Innovative Electrosurgery Application in the Era of TAVR-in-TAVR: A Step Forward in Regaining Coronary Access jacc.org/doi/10.1016/j.jacca… UNICORN TAVR in Native Complex Congenital Aortic Stenosis at High Risk of Coronary Obstruction jacc.org/doi/10.1016/j.jacca… Novel Use of Radiofrequency Guidewire in Leaflet Modification: The BABICORN and ROBIN Procedures jacc.org/doi/10.1016/j.jacca… Double LLAMACORN: Bilateral Leaflet Modification Technique to Prevent Coronary Obstruction jacc.org/doi/10.1016/j.jacca… Editorial Comment Variations and Evolution in Balloon-Based Leaflet Modification: Ensuring Procedural Success jacc.org/doi/10.1016/j.jacca… Balloon-Assisted Leaflet Laceration Using Modified UNICORN Technique in Native Valve TAVR jacc.org/doi/10.1016/j.jacca… Simplified UNICORN for Transcatheter Aortic Valve Replacement jacc.org/doi/10.1016/j.jacca… First Report of Anchoring Via Trans-Leaflet Apposition Stent (ATLAS): Leaflet Modification for Failing Noncalcified Valves jacc.org/doi/10.1016/j.jacca… Editorial Comment Securing the Anchor in Pure Native Aortic Regurgitation: Innovations, Techniques, or Dedicated Devices? jacc.org/doi/10.1016/j.jacca… Transcatheter Mitral Valve-in-Valve Replacement: Overcoming an Obstacle Race jacc.org/doi/10.1016/j.jacca… Editorial Comment Expanding the Toolbox for Mitral Valve-in-Valve Therapy: Innovation Demands Evidence jacc.org/doi/10.1016/j.jacca… VALVULAR HEART DISEASE Robotic Mitral Valve Repair With Severe Pectus Excavatum jacc.org/doi/10.1016/j.jacca… Aortic Valve Neocuspidization in Libman-Sacks Endocarditis jacc.org/doi/10.1016/j.jacca… Temporary Mechanical Support as a Bridge to Transcatheter Aortic Valve Replacement in Cardiogenic Shock jacc.org/doi/10.1016/j.jacca… Tricuspid Transcatheter Edge-to-Edge Repair in Orthotopic Heart Transplantation Recipients jacc.org/doi/10.1016/j.jacca… Frozen Leaflet During Transcatheter Balloon-Expandable Aortic Valve Implantation: Early Recognition and Safe Management jacc.org/doi/10.1016/j.jacca… Editorial Comment Intraprocedural Leaflet Dysfunction and the Importance of Device Planning in Contemporary Transcatheter Aortic Valve Replacements jacc.org/doi/10.1016/j.jacca… Transcatheter Edge-To-Edge Repair After Patent Foramen Ovale and Atrial Septal Defect Closure jacc.org/doi/10.1016/j.jacca… Transcatheter Edge-to-Edge Repair in a Patient With Severe Degenerative Mitral Regurgitation and Mirror-Image Dextrocardia jacc.org/doi/10.1016/j.jacca… Mitral Edge-to-Edge Repair Resolves Hemolytic Anemia After Surgical Mitral Valve Repair jacc.org/doi/10.1016/j.jacca… Valve-in-Valve Transcatheter Aortic Valve Replacement After a Valve-in-Valve Transcatheter Mitral Valve Replacement jacc.org/doi/10.1016/j.jacca… Unprecedented Complication of Left Bundle Branch Pacing: Ventricular Septal Defect With Mitral Valve Injury jacc.org/doi/10.1016/j.jacca… Combined Snare and Buddy-Balloon Strategy for Failed Valve Crossing in Valve-in-Valve Transcatheter Aortic Valve Replacement jacc.org/doi/10.1016/j.jacca… Aortic Root Abscess With Left Atrial Fistula: A Rare and Life-Threatening Complication of Infective Endocarditis jacc.org/doi/10.1016/j.jacca… Platypnea-Orthodeoxia After TAVI for Severe Aortic Regurgitation: A Breathless Surprise jacc.org/doi/10.1016/j.jacca… Long-Term Follow-Up After Dual Transcatheter Valve-in-Valve Implantation Under VA-ECMO Support jacc.org/doi/10.1016/j.jacca… Recurrence of Prosthetic Aortic Valve Endocarditis After Percutaneous Mechanical Aspiration jacc.org/doi/10.1016/j.jacca… 4-Dimensional Intracardiac Echocardiography-Guided Antegrade TAVR Using a Novel CABLE-TAVR Technique jacc.org/doi/10.1016/j.jacca… Delayed Repair of an Iatrogenic Perimembranous VSD After Redo Aortic Valve Replacement: Timing Over Urgency jacc.org/doi/10.1016/j.jacca… Infective Endocarditis Mimicking Reactive Arthritis: A Diagnostic Detour Recurrent Prosthetic Valve Endocarditis With Aortomitral Curtain Destruction in an Elderly Patient jacc.org/doi/10.1016/j.jacca… Dedicated Transcatheter Valve for Pure Aortic Regurgitation in a Failed Stentless Bioprosthesis jacc.org/doi/10.1016/j.jacca… Protected Mitral TEER With Temporary Ventricular Circulatory Support in Severe Left Ventricular Dysfunction for Heart Failure Management jacc.org/doi/10.1016/j.jacca… Editorial Comment Mitral Transcatheter Edge-to-Edge Repair in Severe Left Ventricular Dysfunction: Beyond Procedural Success jacc.org/doi/10.1016/j.jacca… Organizing Hematoma Involving a Native Tricuspid Valve: Fatal Case of Cardiac Behçet Disease–Hughes-Stovin Syndrome Overlap jacc.org/doi/10.1016/j.jacca… Endocarditis Masquerading As Malignancy: Native Valve HACEK Infection jacc.org/doi/10.1016/j.jacca… High-Risk Valve-in-Valve TAVR With Chronic Type B Aortic Dissection jacc.org/doi/10.1016/j.jacca… Severe Calcific Bicuspid Aortic Valve Stenosis Presenting as Reversible Complete Heart Block jacc.org/doi/10.1016/j.jacca… Prosthetic Aortic Valve Vegetation: A Percutaneous Mechanical Aspiration Approach jacc.org/doi/10.1016/j.jacca… Heyde Syndrome in Moderate Bioprosthetic Aortic Valve Stenosis: A Twist in the Valve jacc.org/doi/10.1016/j.jacca… TAVR in a Small Surgical Bioprosthesis With a Kinked Aortic Graft Using an Intra-Annular Self-Expanding Valve jacc.org/doi/10.1016/j.jacca… Step-by-Step Femoral–Femoral Percutaneous Mechanical Aspiration Debulking of Anterior Tricuspid Valve Vegetation jacc.org/doi/10.1016/j.jacca… Transcatheter Aortic Valve Replacement in Aortic Regurgitation Secondary to Aortic Valvulitis jacc.org/doi/10.1016/j.jacca… Redo Transcatheter Aortic Valve Replacement for Degenerated Valve With High-Risk Coronary Anatomy jacc.org/doi/10.1016/j.jacca… Mitral Valve Endocarditis by Micrococcus luteus: First European Case jacc.org/doi/10.1016/j.jacca… @aroniskn @JACabreraCardio @MiChen__ @aabha_divya @sarano_maurice @MarcEngels7 @Miho_Fukui_ @ErikaHuttce @Nishaki1 @MMarinCuartas @ChrissyMD2000f @ACHDocTMoe @PanjrathG @jsaef1 @Kentso987 @m_taramasso @SyedZaidMD

Proud to have helped curate the 2-part landmark special issue on LEAFLET MODIFICATION (LM) in #JACCINT @JACCJournals with Editor-in-Chief David Moliterno and Vasilis Babaliaros to celebrate the 10-anniversary of the 1st leaflet modification done in the world (LAMPOON)! Grateful to be a senior author and co-author of several papers. jacc.org/toc/interventions/1… jacc.org/toc/interventions/1… Congrats to all the authors from around the world who have contributed to this seminal effort! Key highlights: Leaflet modification algorithms: jacc.org/doi/full/10.1016/j.… AORTIC Leaflet Modification BASILICA step-by-step review: jacc.org/doi/full/10.1016/j.… UNICORN step-by-step review: jacc.org/doi/full/10.1016/j.… "Split-line" Concept in LM in Redo-TAVR: jacc.org/doi/full/10.1016/j.… UNICORN benchtop validation in redo-TAVR: works better with failed Sapien, Evolut, Acurate than Navitor: jacc.org/doi/full/10.1016/j.… UNICORN registry: jacc.org/doi/full/10.1016/j.… Bench testing showing UNICORN more effective than (BA)BASILICA in Redo-TAVR: jacc.org/doi/full/10.1016/j.… Bench testing showing LM in redo-TAVR dependent on TAV type, constraint, 2nd TAV implant. BASILICA no effect on Navitor and BA-BASILICA better with failed Evolut + Acurate jacc.org/doi/full/10.1016/j.… HALT reduction with leaflet modification in VIV #TAVR: jacc.org/doi/full/10.1016/j.… Bench testing on LM of calcified native and SAV leaflets showed higher Ca burden increased laceration difficulty, leaflet tears and embolic debris; less spray with shorter leaflet length jacc.org/doi/full/10.1016/j.… LOFTER-TAVR registry: jacc.org/doi/full/10.1016/j.… CT simulation of LM impact on Redo-TAVR Feasibility: jacc.org/doi/full/10.1016/j.… Fluoro Left-Main Frame Alignment View to Evaluate coronary obstruction in redo-TAVR: jacc.org/doi/full/10.1016/j.… FIH wire anchoring-assisted BASILICA/UNICORN: jacc.org/doi/full/10.1016/j.… FIH tricupsidization of bicuspid native #TAVR jacc.org/doi/full/10.1016/j.… Mitral Leaflet Modification LAMPOON/BATMAN step-by-step: jacc.org/doi/full/10.1016/j.… BATMAN registry jacc.org/doi/full/10.1016/j.… TRICUSPID Leaflet Modification ELASTA-T for failed T-TEER to facilitate TTVR step-by-step: jacc.org/doi/full/10.1016/j.… Mechanisms of failed BASILICA/LAMPOON/SEASAME: jacc.org/doi/full/10.1016/j.…