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Received August 24, 2014; revised manuscript received December 21, 2014; accepted December 23, 2014; released online January 26, 2015 Time for primary review: 29 days Division of Cardiovascular Medicine, Toho University Ohashi Medical Center, Tokyo (H.H., G.H., T.A., Y.N., K.Y., M.T., Y.E., F.H., Y.Y., R.I., M.S., K.S., M.N.); Department of Cardiovascular Surgery, National Hospital Organization Kanazawa Medical Center, Kanazawa (Y.M.), Japan; and Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA (T.M., S.K.), USA Mailing address: Hidehiko Hara, MD, PhD, Division of Cardiovascular Medicine, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-ku, Tokyo 153-8515, Japan. E-mail: harahide@oha.toho-u.ac.jp ISSN-1346-9843 doi: 10.1253/circj.CJ-14-0940 All rights are reserved to the Japanese Circulation Society. For permissions, please e-mail: cj@j-circ.or.jp Percutaneous Antegrade Mitral Paravalvular Leak Closure Through Porcelain Atrial Septum – First Percutaneous Paravalvular Leak Closure in Japan –