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Received December 7, 2014; accepted January 21, 2015; released online February 19, 2015 Time for primary review: 43 days Department of Cardiology (T. Naganuma, K.T., Y.F., T.K., S.M., S.N.), Department of Cardiovascular Surgery (M.A., T. Nakao), New Tokyo Hospital, Matsudo, Japan Mailing address: Sunao Nakamura, MD, PhD, FACC, FESC, FAHA, FSCAI, FAPSIC, FJCC, FJCA, Department of Cardiology, New Tokyo Hospital, 1271 Wanagaya, Matsudo 270-2232, Japan. E-mail: boss0606@pluto.plala.or.jp ISSN-1346-9843 doi: 10.1253/circj.CJ-14-1339 All rights are reserved to the Japanese Circulation Society. For permissions, please e-mail: cj@j-circ.or.jp Valsalva Sinus Perforation Into the Right Atrium Due to Infective Endocarditis of Transcatheter Heart Valve