title: Fatal late migration of viacor percutaneous transvenous mitral annuloplasty device resulting in distal coronary venous perforation.
abstract: We present the case of a patient with dilated ischemic cardiomyopathy and severe mitral regurgitation. Due to several comorbidities, he underwent percutaneous transvenous mitral annuloplasty. Postoperatively, he complained of atypical chest pain. He was treated for pericarditis and died suddenly 10 days after the procedure. Autopsy showed distal perforation of the anterior interventricular vein with migration of the device on the diaphragm.
authors.affiliation: Québec Heart and Lung Institute, Québec City, Québec, Canada.
authors.forename: Jimmy
authors.initials: J
authors.lastname: Machaalany
authors.forename: André
authors.initials: A
authors.lastname: St-Pierre
authors.forename: Mario
authors.initials: M
authors.lastname: Sénéchal
authors.forename: Eric
authors.initials: E
authors.lastname: Larose
authors.forename: François
authors.initials: F
authors.lastname: Philippon
authors.forename: Eltigani
authors.initials: E
authors.lastname: Abdelaal
authors.forename: Eric
authors.initials: E
authors.lastname: Charbonneau
authors.forename: François
authors.initials: F
authors.lastname: Dagenais
authors.forename: Sylvain
authors.initials: S
authors.lastname: Trahan
authors.forename: Olivier F
authors.initials: OF
authors.lastname: Bertrand
mesh_terms: D000369:Aged, 80 and over; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000295:instrumentation; D054326:Coronary Sinus / Q000293:injuries*; D017548:Echocardiography, Transesophageal; D017809:Fatal Outcome; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D058386:Mitral Valve Annuloplasty / Q000009:adverse effects* / Q000295:instrumentation; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery; D013997:Time Factors