Abnormal wire's trajectory during edge-to-edge mitral valve repair-a rare case report of inferior vena cava anomaly.

ABSTRACT:

Background

Inferior vena cava (IVC) anomalies are rare and diagnosed incidentally as most patients are asymptomatic. We present a case where an abnormal course of the wire during percutaneous mitral valve repair revealed abnormal IVC anatomy leading to procedure termination. We summarized all IVC anomalies relevant to cardiovascular physicians and designed a simplified tool to illustrate their course for differential diagnosis.

Case summary

A 78-year-old female presented with severe and symptomatic mitral regurgitation. The heart team decided to proceed with a percutaneous option, considering the patient's high surgical risk. While ascending from the femoral vein, the wire took an abnormal course to the left side of the vertebrae and continued beyond the cardiac silhouette d

SUBMITTER: Koren O 

PROVIDER: S-EPMC8922697 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature