Work

Retrograde Balloon Mitral Valvotomy for Severe Mitral Stenosis With Interrupted Inferior Vena Cava Complicating Pregnancy

Year: 2025

Type: article

Abstract: BACKGROUND: Rheumatic mitral stenosis complicating pregnancy is a common clinical scenario encountered in cardio-obstetrics clinics in India. The condition needs a heart team approach for successful fetal and maternal outcomes. CASE SUMMARY: A 26-year-old woman, at 28 weeks of gestation, with an interrupted inferior vena cava presented with severe mitral stenosis. Transarterial retrograde balloon mitral valvotomy was performed using a 25 × 40 mm Tyshak balloon catheter because of the inability to do it transvenously. DISCUSSION: Anatomic variability in the form of an interrupted inferior vena cava and inability to perform transseptal puncture through the right internal jugular vein prompted the heart team to successfully perform transarterial retrograde ballon mitral valvotomy in this pregnant patient. TAKE-HOME MESSAGE: An alternate plan of management should always be prepared when a complex interventional procedure is being planned in a pregnant patient with a variant anatomy.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.106036

Authors: Ramesh Ramachandran, Sathish Kumar Subburaj, Selvarani Gnanamuthu, Saravanan Rathinam Ramasamy, Abishek Sankaran, Bhava R.J. Kannan

Institutions: Madurai Medical College, Government Rajaji Hospital

Language: English

Topic: Cardiovascular Issues in Pregnancy

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850