Key result
Sheathless Venus P-valve implantation succeeds via a one-curve left jugular approach in complex cardiac anatomy.
Case Report (n=1)
The Venus P-valve can be successfully implanted via left jugular venous access without a delivery sheath in patients with complex congenital cardiac anatomy.
Supports feasibility of jugular access in select complex cases; leaves open prospective validation before wider use.
This report describes a 41-year-old female with left isomerism, interrupted inferior caval vein with azygos continuation, dextrocardia, and repaired tetralogy of Fallot, who underwent percutaneous pulmonary valve implantation using the Venus P-valve system. Due to anatomical constraints, left jugular venous access was utilised. A Venus P-valve (30 by 25 mm) was successfully implanted in the right ventricular outflow tract using a simplified, one-curve trajectory directly on its delivery system without a delivery sheath. Contrast injections during valve implantation were not possible, and the pre-implanted duct occluder was our anatomical landmarks. This case highlights the adaptability of the Venus P-valve and the importance of individualised procedural strategies in addressing anatomical challenges and achieving optimal outcomes.
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Callegari et al. (2025) conducted a case report in Left isomerism, interrupted inferior caval vein with azygos continuation, dextrocardia, and repaired tetralogy of Fallot (n=1). Percutaneous pulmonary valve implantation using the Venus P-valve system was evaluated. A Venus P-valve was successfully implanted in the right ventricular outflow tract using a simplified, one-curve trajectory directly on its delivery system without a delivery sheath.
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