A case of combined pulmonary vein isolation (PVI) and watchman implant through hepatic vein in a patient with interrupted inferior vena cava (IVC)

Abstract

Key Clinical Message This case report describes a successful procedure involving pulmonary vein isolation (PVI) and left atrial appendage (LAA) closure with a watchman device in a 78‐year‐old male with atrial fibrillation and an interrupted inferior vena cava. Due to the vascular anomaly, a transhepatic approach was used, which proved successful.

Keywords

• atrial fibrillation
• interrupted inferior vena cava
• left atrial ablation
• pulmonary vein isolation
• transhepatic access
• watchman device