The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

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Fatal coronary sinus and aortic erosions following percutaneous transvenous mitral annuloplasty device

EuroIntervention 2011;7:148-150. DOI: 10.4244/EIJV7I1A24

1. Cardiology Division, Department of Medicine, University Hospital of Geneva, Geneva, Switzerland; 2. Pathology Department, University Hospital of Geneva, Geneva, Switzerland
annuloplasty coronary sinus mitral valve regurgitation complications of percutaneous intervention An 83-year-old farmer was admitted for congestive heart failure. Transthoracic echocardiography (TTE) revealed functional grade 3 mitral regurgitation (MR) and moderately decreased left ventricular ejection fraction (LVEF). A coronary angiogram demonstrated no significant lesions. Despite optimal medical therapy for six months, the patient remained in functional class III and was offered percutaneous mitral valve repair using the experimental Viacor PTMA (percutaneous transvenous mitral annuloplasty) device1 within PTOLEMY-2 protocol. The procedure was performed under general anaesthesia, with fluoroscopic and transesophageal echocardiography guidance. Vascular access was established from the left subclavian vein to ...

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