Girgis Sameh, Niknam Negar, Bhatti Zabeer, Mohsin Jalal, Aal Ahmed Kamel Abdel, Hariharan Ramesh, Hematpour Khashayar
Electrophysiology Department The University of Texas Health Science Center Houston Texas USA.
Internal Medicine Department University of Houston, HCA Kingwood Hospital Houston Texas USA.
Clin Case Rep. 2023 Aug 10;11(8):e7787. doi: 10.1002/ccr3.7787. eCollection 2023 Aug.
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.