BMJ Case Reports 2017; doi:10.1136/bcr-2017-221087
  • Novel treatment (new drug/intervention; established drug/procedure in new situation)

An unconventional valvuloplasty: severe pulmonary stenosis with 'candy cane' inferior vena cava

  1. Neeraj Pandit
  1. Department of Cardiology, Ram Manohar Lohia Hospital, New Delhi, India
  1. Correspondence to Dr Satyam Rajvanshi, drrajvanshi.cardiology{at}
  • Accepted 20 June 2017
  • Published 13 July 2017


Femoral vein is the usual approach to balloon pulmonary valvuloplasty (BPV). However, alternative access may be mandated in some peculiar situations. We hereby report a 10-year-old patient with symptomatic severe valvular pulmonary stenosis with interrupted inferior vena cava which was successfully treated with transjugular BPV. Technical considerations for this approach as well as other possible options for such patients are discussed.


  • Competing interests None declared.

  • Patient consent Obtained from guardian.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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