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[Percutaneous transluminal angioplasty of the vena cava inferior]
M Ledesma Velasco1, R Verdín Vázquez, F Solórzano Zepeda
1Hospital Angeles del Pedregal. México, D.F.
Insights
Percutaneous balloon angioplasty (PBA) offers a new treatment for inferior vena cava obstruction. This minimally invasive procedure was successfully used in a patient with extensive calcification.
Area of Science:
- Cardiology
- Interventional Radiology
Background:
- A 65-year-old female presented with severe inferior vena cava obstruction.
- The patient had a history of massive calcification in the right atrium and tricuspid annulus, with prior tricuspid valvuloplasty.
- A long-standing cerebral-right atrial shunt due to cysticercosis was the only identified predisposing factor for extensive calcification.
Observation:
- Percutaneous balloon angioplasty (PBA) was performed to address the inferior vena cava obstruction.
- The procedure involved detailed technical descriptions and discussion of post-dilatation events.
- This case highlights an uncommon clinical scenario involving severe vascular calcification.
Findings:
- PBA was technically successful in treating the inferior vena cava obstruction.
- The study documents the specific technique employed for this complex case.
- Post-procedural events were observed and discussed.
Implications:
- Percutaneous balloon angioplasty presents a viable alternative to surgical intervention for inferior vena cava obstruction.
- This approach may be particularly beneficial in patients with significant comorbidities or contraindications to surgery.
- Further research into PBA for complex venous obstructions is warranted.
Abstract:
We describe a 65-years-old female, with percutaneous balloon angioplasty (PBA) of inferior vena cava. The patient had massive calcification of the right atrium, the tricuspid anulus as well as obstruction of the tricuspid valve (percutaneous tricuspid valvuloplasty was performed 2.5 years before). The only predisposing factor for calcification was, a cerebral-right atrial shunt (cerebral cysticercosis) for 32 years. PBA was performed. We discuss some events that occurred after dilatation. We describe the technique in this uncommon case. We conclude that percutaneous balloon angioplasty is another alternative to surgical repair in inferior vena cava obstruction.