A case of combined pulmonary vein isolation (PVI) and watchman implant through hepatic vein in a patient with interrupted inferior vena cava (IVC)

Sameh Girgis; Negar Niknam; Zabeer Bhatti; Jalal Mohsin; Ahmed Kamel Abdel Aal; Ramesh Hariharan; Khashayar Hematpour

doi:10.1002/ccr3.7787

A case of combined pulmonary vein isolation (PVI) and watchman implant through hepatic vein in a patient with interrupted inferior vena cava (IVC)

Clin Case Rep. 2023 Aug 10;11(8):e7787. doi: 10.1002/ccr3.7787. eCollection 2023 Aug.

Authors

Sameh Girgis¹, Negar Niknam², Zabeer Bhatti¹, Jalal Mohsin³, Ahmed Kamel Abdel Aal⁴, Ramesh Hariharan¹, Khashayar Hematpour¹

Affiliations

¹ Electrophysiology Department The University of Texas Health Science Center Houston Texas USA.
² Internal Medicine Department University of Houston, HCA Kingwood Hospital Houston Texas USA.
³ University of Houston Houston Texas USA.
⁴ Diagnostic and Interventional Imaging The University of Texas Health Science Center Houston Texas USA.

Abstract

This case report describes a successful procedure involving pulmonary vein isolation (PVI) and left atrial appendage (LAA) closure with a watchman device in a 78-year-old male with atrial fibrillation and an interrupted inferior vena cava. Due to the vascular anomaly, a transhepatic approach was used, which proved successful.

Keywords: atrial fibrillation; interrupted inferior vena cava; left atrial ablation; pulmonary vein isolation; transhepatic access; watchman device.

Publication types

Case Reports