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Updated: Oct 17, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Direct SVC Access for Valve Replacement With Percutaneous Venotomy Suture System Hemostasis: A Way In
Elizabeth Ghandakly1, Sanjay Sinha2, Niall Linnane3
1Division of Cardiology, University of California, Los Angeles, Los Angeles, California, USA.
Background:
Adult patients with congenital heart disease often have limited vascular access due to previous procedures and anatomic variations.
Case Summary:
This case describes how a percutaneously placed venotomy suture system allowed for direct percutaneous superior vena cava access for delivery sheath insertion for transcatheter pulmonary valve replacement. This system allowed for a novel access approach and the achievement of hemostasis in an otherwise noncompressible site.
Discussion:
The availability of percutaneously placed venotomy suture placement systems allows for a more daring approach to noncompressible sites within the mediastinum and has the potential to be applied to allow large-bore closed chest access to other mediastinal structures.
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