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

BMJ Case Rep. 2017 Jul 13:2017:bcr2017221087. doi: 10.1136/bcr-2017-221087.

Abstract

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.

Keywords: clinical diagnostic tests; interventional cardiology; valvar diseases.

Publication types

  • Case Reports

MeSH terms

  • Balloon Valvuloplasty / methods*
  • Child
  • Female
  • Humans
  • Jugular Veins / surgery
  • Pulmonary Valve Stenosis / therapy*
  • Vena Cava, Inferior / abnormalities