Related Experiment Video
Updated: Jan 10, 2026
08:31
A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
4.3K
Transhepatic Access for Mitral Valve Replacement: Transhepatic Transseptal Mitral Valve-in-Valve
Lucas Ferreira Marcondes Lemos1, Dimytri Alexandre de Alvim Siqueira1, Carlos Augusto Cardoso Pedra1
1Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil.
JACC. Case Reports
|November 24, 2025
Summary
Transcatheter mitral valve-in-valve (ViV) procedures are typically done via femoral vein access. A transhepatic route offers a viable alternative for patients with venous anomalies, despite technical challenges.
Area of Science:
- Cardiovascular Interventions
- Interventional Cardiology
- Structural Heart Disease
Background:
- Transcatheter mitral valve-in-valve (ViV) is a less invasive option for high-risk surgical patients.
- The standard transseptal route via femoral venous access may be unfeasible due to venous occlusions or IVC interruption.
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