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Coil migration into coronary sinus: A rare complication of percutaneous transhepatic obliteration of portal systemic collaterals
Authors:Hideki Kawai  Yasuchika Kato  Sadako Motoyama  Masayoshi Sarai  Yukio Ozaki
Affiliation:1. Department of Medicine, Cardiology Division, Medstar Georgetown University Hospital, 3800 Reservoir Road NW, 5PHC, Washington, DC 20007, USA;2. Siemens Healthcare, Forscheim, Germany;3. Austin Health, Melbourne, Australia;4. Department of Medicine, New York University School of Medicine, 660 First Ave, 2nd Floor, New York, NY 10016, USA;5. Department of Radiology, New York University School of Medicine, New York, NY, USA;1. Departments of Medicine and Imaging and Biomedical Sciences, Cedars-Sinai Heart Institute and Cedars-Sinai Medical Center, 8700 Beverly Boulevard, S. Mark Taper Building Room 1253, Los Angeles, CA 90048, USA;2. Department of Imaging, Cedars-Sinai Medical Center, Los Angeles, CA, USA;3. Department of Diagnostic Radiology, Keio University School of Medicine, Tokyo, Japan;4. Centro Cardiologico Monzino, IRCCS, Milan, Italy;5. Department of Radiology, Yonsei University School of Medicine, Seoul, Korea;6. Department of Medicine, Division of Cardiology, Yonsei University School of Medicine, Seoul, Korea;7. Department of Radiology, Cardiovascular Institute and Fuwai Hospital, Peking Union Medical College, Beijing, China;8. Department of Medicine, Division of Cardiology, Mount Sinai School of Medicine, New York, NY, USA;9. Department of Medicine, Division of Cardiology, University of California at San Diego, San Diego, CA, USA;10. Department of Clinical Radiology, Derriford Hospital, Plymouth, United Kingdom;11. Baptist Hospital of Miami and Baptist Cardiac and Vascular Institute, Miami, FL, USA;12. Walter Reed Medical Center, Bethesda, MD, USA;13. Asan Medical Center, Seoul, Korea;14. St. Paul''s Hospital, Vancouver, British Columbia, Canada;1. Cardiovascular Magnetic Resonance and Computed Tomography Sector, Heart Institute (InCor), University of São Paulo Medical School, São Paulo, Brazil;2. Cardiomyopathy Unit, Heart Institute (InCor), University of São Paulo Medical School, São Paulo, Brazil;3. Pacemaker Clinic, Heart Institute (InCor), University of São Paulo Medical School, São Paulo, Brazil;4. Radiology and Imaging Sciences, National Institutes of Health Clinical Center, Bethesda, MD, USA;1. Monash Cardiovascular Research Center, MonashHEART, Monash Medical Center, 246 Clayton Road, Clayton 3168, Australia;2. Monash University Department of Medicine (MMC), Melbourne, Australia;3. Diagnostic Imaging, Southern Health, Melbourne, Australia;1. Department of Cardiology, The Heart Center, Rigshospitalet, University of Copenhagen, 2141, Blegdamsvej 9, 2100-Cph, Denmark;2. Department of Radiology, Rigshospitalet, University of Copenhagen, Denmark;3. Department of Clinical Biochemistry and the Copenhagen General Population Study, Herlev Hospital, University of Copenhagen, Denmark;4. Faculty of Health Sciences, University of Copenhagen, Denmark
Abstract:
A 62-year-old woman underwent percutaneous transhepatic obliteration of a giant portal-systemic shunt. Just after inserting a coil into the shunt, it slipped through the giant shunt and migrated to the right atrium. CT showed coil migration into the coronary sinus.
Keywords:Computed tomography  Coronary sinus  Complication
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