Transcatheter aortic valve replacement through transcaval aortic access in a patient with duplicated inferior vena cava and poor iliofemoral anatomy

Zaher Fanari, Mohammad Al-Akchar, Hadi Mahmaljy, Sachin Goel, Nilesh J. Goswami

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Transthoracic (transapical and transaortic) access is inferior compared with femoral artery access. Percutaneous transcaval aortic access is a reasonable alternative approach that is being used in transcatheter aortic valve replacement (TAVR) in patients with poor iliofemoral anatomy. Duplicated Inferior vena cava (DIVC) is an uncommon abnormality. We report the case of 76-year-old lady with history of severe peripheral vascular disease, morbid obesity, diabetes, hypertension, hyperlipidemia and duplicated IVC that had severe symptomatic aortic stenosis. The patient had diffuse bilateral iliac disease precluding the arterial access required for TAVR. Other comorbidities made transthoracic access less desirable. We report the first successful Transcaval TAVR in a patient with DIVC.

Original languageEnglish (US)
Pages (from-to)604-606
Number of pages3
JournalCardiovascular Revascularization Medicine
Volume18
Issue number8
DOIs
StatePublished - Dec 2017

Keywords

  • Duplicated inferior vena cava
  • Transcatheter aortic valve replacement
  • Transcaval access

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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