Percutaneous Transhepatic Venous Access for Left Atrial Appendage Closure in a Patient with Left Sided Inferior Vena Cava with Hemiazygos Continuation

Transhepatic Access for Percutaneous Mitral Balloon Commissurotomy With Dextrocardia and Inferior Vena Cava Interruption

“…Percutaneous transhepatic venous access has been previously employed in catheter ablation for cardiac arrhythmias, in patients with and without dextrocardia or heterotaxy syndrome, 1 , 2 , 3 , 4 LA appendage closure in patients with atrial fibrillation, 5 , 9 and MV repair. 7 To our knowledge, this is the first report of a patient with dextrocardia, IVC interruption, rheumatic mitral stenosis, and a left HV approach.…”