Congenital sub-total IVC obstruction and rheumatic severe mitral stenosis-treated percutaneously in a single stage procedure using the same hardware

This case is unique in the performance of PTMC and IVC dilatation in the same setting using the same hardware from the femoral vein approach irrespective of the hindrance caused by the IVC obstruction in the performance of PTMC through this approach. There have been case reports of successful IVC stenting for venous web but the combination of these two illnesses is relatively rare occurrence and the performance of both the procedures simultaneously using an Inoue balloon is unique and this report imparts confidence to interventionists for performance of successful PTMC even in cases with critical stenosis of the inferior vena cava and that the two procedures can be completed simultaneously in the same sitting in a cost effective way.