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Transhepatic device closure of large atrial septal defect

Part of: Atrial Septal Defect (ASD) Interventional Cardiology

Published online by Cambridge University Press:  04 March 2021

Ata Firouzi ,
Sedigheh Saedi Open the ORCID record for Sedigheh Saedi [Opens in a new window]  and
Tahereh Saedi
Ata Firouzi
Affiliation:
Department of Cardiology, Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
Sedigheh Saedi*
Affiliation:
Department of Cardiology, Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
Tahereh Saedi
Affiliation:
Department of Cardiology, Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
*
Author for correspondence: Sedigheh Saedi, MD, Associate Professor of Cardiology, Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. Tel: +9821-23921. E-mail: Sedsaedi@gmail.com
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Abstract

Transcatheter closure of secundum-type atrial septal defects has become the treatment of choice in the majority of cases. Femoral venous access is the standard rout for device implantation. Anatomic abnormalities of venous system including interrupted inferior caval vein with azygous continuation can make the percutaneous procedure more complicated. In such instances, alternative methods of transjugular or transhepatic approach or surgical repair should be considered. We present the case of a 50-year-old male with secundum-type atrial septal defect and a rare form of segmental interruption of inferior caval vein and describe successful atrial septal defect closure through transfemoral approach.

Keywords

Atrial septal defectdevice closurecatheter interventionCHDinterrupted inferior caval vein
Type
Brief Report
Information
Cardiology in the Young , Volume 31 , Issue 9 , September 2021 , pp. 1504 - 1506
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Hardwick, T, Belcher, E, Sabharwal, T, King, J. Interrupted inferior vena cava: high-risk anatomy for right thoracotomy. Interact Cardiovasc Thorac Surg 2011; 12: 850–852.CrossRefGoogle ScholarPubMed
Saedi, S, Aliramezany, M, Khajali, Z, Sanati, HR. Transcatheter closure of large atrial septal defects: a single-center experience. Res Cardiovasc Med 2018; 7: 148.Google Scholar
Singh, SM, Neuzil, P, Skoka, J, et al. Percutaneous transhepatic venous access for catheter ablation procedures in patients with interruption of the inferior vena cava. Circ: Arrhythmia Electrophysiol 2011; 4: 235–241.Google ScholarPubMed
Alizade, E, Karaduman, A, Balaban, I, Keskin, B, Kalkan, S. Percutaneous closure of a secundum atrial septal defect through femoral approach in an adult patient with interrupted inferior vena cava and azygos continuation. Anatol J Cardiol 2020; 23: 188–191.Google Scholar
McLeod, KA, Houston, AB, Richens, T, Wilson, N. Transhepatic approach for cardiac catheterisation in children: initial experience. Heart 1999; 82: 694–696.CrossRefGoogle ScholarPubMed
Hussain, J, Strumpf, R, GhandForoush, A, Jamal, A, Diethrich, E. Transhepatic approach to closure of patent foramen ovale: report of 2 cases in adults. Texas Heart Inst J 2010; 37: 553.Google ScholarPubMed

Firouzi et al. supplementary material

Firouzi et al. supplementary material

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