Case Report: Extensive deep vein thrombosis and venous pseudoaneurysm following percutaneous transcatheter tricuspid valve intervention
IntroductionTranscatheter tricuspid valve intervention (TTVI) has evolved as a less-invasive alternative to surgical treatment of severe tricuspid regurgitation. Although venously delivered valves have been introduced, the risk of venous access site complications is unknown. We present a patient who...
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Frontiers Media S.A.
2025-05-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2025.1568102/full |
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| author | Zaid Abood M. Fuad Jan M. Fuad Jan Eric S. Weiss Eric S. Weiss Tanvir Bajwa Tanvir Bajwa Suhail Q. Allaqaband Suhail Q. Allaqaband Mark W. Mewissen Mark W. Mewissen |
| author_facet | Zaid Abood M. Fuad Jan M. Fuad Jan Eric S. Weiss Eric S. Weiss Tanvir Bajwa Tanvir Bajwa Suhail Q. Allaqaband Suhail Q. Allaqaband Mark W. Mewissen Mark W. Mewissen |
| author_sort | Zaid Abood |
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| description | IntroductionTranscatheter tricuspid valve intervention (TTVI) has evolved as a less-invasive alternative to surgical treatment of severe tricuspid regurgitation. Although venously delivered valves have been introduced, the risk of venous access site complications is unknown. We present a patient who suffered phlegmasia cerulea dolens post-TTVI.Case summaryWe present an 88-year-old female patient who developed phlegmasia cerulea dolens of the right lower extremity shortly after successful TTVI delivered through the right common femoral vein via a 35F sheath. Ipsilateral transpopliteal venography demonstrated an occlusive thrombus in the right common femoral vein and the incidental finding of an external iliac vein pseudoaneurysm. Endovascular treatment consisting of mechanical thrombectomy followed by adjunctive placement of self-expanding metallic stents resulted in restoration of iliofemoral venous outflow and excellent recovery with resolution of the patient's symptoms.ConclusionsSurveillance, e.g., duplex ultrasonography, immediately post-TTVI is important to rule out acute thrombosis of the venous access site and other complications associated with a large sheath. |
| format | Article |
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| institution | Kabale University |
| issn | 2297-055X |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj-art-f0a1696cda4e4b37a535ee0d5bba8c3d2025-08-20T03:49:46ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-05-011210.3389/fcvm.2025.15681021568102Case Report: Extensive deep vein thrombosis and venous pseudoaneurysm following percutaneous transcatheter tricuspid valve interventionZaid Abood0M. Fuad Jan1M. Fuad Jan2Eric S. Weiss3Eric S. Weiss4Tanvir Bajwa5Tanvir Bajwa6Suhail Q. Allaqaband7Suhail Q. Allaqaband8Mark W. Mewissen9Mark W. Mewissen10Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke’s Medical Centers, Aurora Health Care, Milwaukee, WI, United StatesAurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke’s Medical Centers, Aurora Health Care, Milwaukee, WI, United StatesDivision of Cardiovascular Medicine, University of Wisconsin School of Medicine and Public Health, Milwaukee Clinical Campus, Milwaukee, WI, United StatesAurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke’s Medical Centers, Aurora Health Care, Milwaukee, WI, United StatesDivision of Cardiovascular Medicine, University of Wisconsin School of Medicine and Public Health, Milwaukee Clinical Campus, Milwaukee, WI, United StatesAurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke’s Medical Centers, Aurora Health Care, Milwaukee, WI, United StatesDivision of Cardiovascular Medicine, University of Wisconsin School of Medicine and Public Health, Milwaukee Clinical Campus, Milwaukee, WI, United StatesAurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke’s Medical Centers, Aurora Health Care, Milwaukee, WI, United StatesDivision of Cardiovascular Medicine, University of Wisconsin School of Medicine and Public Health, Milwaukee Clinical Campus, Milwaukee, WI, United StatesAurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke’s Medical Centers, Aurora Health Care, Milwaukee, WI, United StatesDivision of Cardiovascular Medicine, University of Wisconsin School of Medicine and Public Health, Milwaukee Clinical Campus, Milwaukee, WI, United StatesIntroductionTranscatheter tricuspid valve intervention (TTVI) has evolved as a less-invasive alternative to surgical treatment of severe tricuspid regurgitation. Although venously delivered valves have been introduced, the risk of venous access site complications is unknown. We present a patient who suffered phlegmasia cerulea dolens post-TTVI.Case summaryWe present an 88-year-old female patient who developed phlegmasia cerulea dolens of the right lower extremity shortly after successful TTVI delivered through the right common femoral vein via a 35F sheath. Ipsilateral transpopliteal venography demonstrated an occlusive thrombus in the right common femoral vein and the incidental finding of an external iliac vein pseudoaneurysm. Endovascular treatment consisting of mechanical thrombectomy followed by adjunctive placement of self-expanding metallic stents resulted in restoration of iliofemoral venous outflow and excellent recovery with resolution of the patient's symptoms.ConclusionsSurveillance, e.g., duplex ultrasonography, immediately post-TTVI is important to rule out acute thrombosis of the venous access site and other complications associated with a large sheath.https://www.frontiersin.org/articles/10.3389/fcvm.2025.1568102/fullaccess site complicationcase reportdeep vein thrombosisphlegmasia cerulea dolenstranscatheter tricuspid valve replacementvenous pseudoaneurysm |
| spellingShingle | Zaid Abood M. Fuad Jan M. Fuad Jan Eric S. Weiss Eric S. Weiss Tanvir Bajwa Tanvir Bajwa Suhail Q. Allaqaband Suhail Q. Allaqaband Mark W. Mewissen Mark W. Mewissen Case Report: Extensive deep vein thrombosis and venous pseudoaneurysm following percutaneous transcatheter tricuspid valve intervention Frontiers in Cardiovascular Medicine access site complication case report deep vein thrombosis phlegmasia cerulea dolens transcatheter tricuspid valve replacement venous pseudoaneurysm |
| title | Case Report: Extensive deep vein thrombosis and venous pseudoaneurysm following percutaneous transcatheter tricuspid valve intervention |
| title_full | Case Report: Extensive deep vein thrombosis and venous pseudoaneurysm following percutaneous transcatheter tricuspid valve intervention |
| title_fullStr | Case Report: Extensive deep vein thrombosis and venous pseudoaneurysm following percutaneous transcatheter tricuspid valve intervention |
| title_full_unstemmed | Case Report: Extensive deep vein thrombosis and venous pseudoaneurysm following percutaneous transcatheter tricuspid valve intervention |
| title_short | Case Report: Extensive deep vein thrombosis and venous pseudoaneurysm following percutaneous transcatheter tricuspid valve intervention |
| title_sort | case report extensive deep vein thrombosis and venous pseudoaneurysm following percutaneous transcatheter tricuspid valve intervention |
| topic | access site complication case report deep vein thrombosis phlegmasia cerulea dolens transcatheter tricuspid valve replacement venous pseudoaneurysm |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2025.1568102/full |
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