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Balloon Aortic Valvuloplasty via Umbilical Venous Access in a Neonate With Critical Aortic Stenosis

Sanjeev Kathuria, MD, DM
Sourabh Agstam, MD, DM
Sumod Kurien, MD, DM
08/14/2025

Video 1. Fluoroscopy of the 0.014-inch workhorse percutaneous transluminal coronary angioplasty wire in the right atrium. There was difficulty entering the left atrium because of a lack of support. The wire course was as follows: umbilical vein, ductus venosus, inferior venous cava, right atrium.

Video 2. Fluoroscopy of the Judkins right catheter in the left atrium through the patent foramen ovale and the percutaneous transluminal coronary angioplasty (PTCA) wire in the left ventricle. The PTCA wire did not cross the stenosed aortic valve because of poor support.

Video 3. Fluoroscopy of the crossing of the stenosed aortic valve with a percutaneous transluminal coronary angioplasty (PTCA) wire using the microcatheter in the left ventricle. The PTCA wire was further advanced to the descending aorta for balloon aortic valvuloplasty. 

© 2025 HMP Global. All Rights Reserved.
Any views and opinions expressed are those of the author(s) and/or participants and do not necessarily reflect the views, policy, or position of the Journal of Invasive Cardiology or HMP Global, their employees, and affiliates. 
 


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