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Hybrid closure of a large atrial septal defect using Occlutech Flex II septal occluder in a patient with interrupted inferior caval vein

Published online by Cambridge University Press:  04 May 2020

Amjad Bani Hani*
Affiliation:
Department of General Surgery, Section of Cardiovascular Surgery, Jordan University Hospital, Amman, Jordan
Mai Abdullattif
Affiliation:
School of Medicine, The University of Jordan, Amman, Jordan
Iyad AL-Ammouri
Affiliation:
Department of Pediatrics, Section of Cardiology, Jordan University Hospital, Amman, Jordan
*
Author for correspondence: Amjad Bani Hani, MD, Department of Surgery, Faculty of Medicine, The University of Jordan, Amman11940, Jordan. Tel: +962 6 535 3666; Fax: +962 6 535 3444. E-mail: [email protected]

Abstract

We present a case of a 31-year-old male with a large atrial septal defect, who was found to have interrupted inferior caval vein with azygous continuation to the superior caval vein, which precluded transcutaneous closure by device. The defect was successfully closed with a 33 mm Occlutech Figula septal occluder using a sub-mammary small thoracotomy incision and per-atrial approach without using cardiopulmonary bypass. The patient was discharged home after 48 hours of procedure.

Type
Brief Report
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Hoffman, JI, Kaplan, S.The incidence of congenital heart disease. J Am Coll Cardiol 2002; 39: 18901900.CrossRefGoogle ScholarPubMed
Du, ZD, Hijazi, ZM, Kleinman, CS, Silverman, NH, Larntz, K. Amplatzer Investigators. Comparison between transcatheter and surgical closure of secundum atrial septal defect in children and adults: results of a multicenter nonrandomized trial. J Am Coll Cardiol 2002; 39: 18361844.CrossRefGoogle ScholarPubMed
Narin, N, Pamukcu, O, Baykan, A, Argun, M, Ozyurt, A, Uzum, K.Percutaneous atrial septal defect closure by using jugular venous access in a case with interrupted inferior vena cava. Postepy Kardiologii Interwencyjnej 2014; 10: 267269.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 clinical perspective. Circ-Arrhythmia Elec 2011; 4: 235241.CrossRefGoogle Scholar
Sheth, K, Jain, S, Joshi, S, Dalvi, B.Hybrid closure of atrial septal defect: A modified approach. Ann Pediat Cardiol 2015; 8: 74.Google ScholarPubMed
Anderson, RC, Adams, P, Burke, B.Anomalous inferior vena cava with azygos continuation (infrahepatic interruption of the inferior vena cava): report of 15 new cases. J Pediat 1961; 59: 370383.CrossRefGoogle ScholarPubMed
Huffmyer, JL, Groves, DS.Pulmonary complications of cardiopulmonary bypass. Best Pract Res Clin Anaesthesiol 2015; 29: 163175.CrossRefGoogle ScholarPubMed
Hoevels, J, Lunderquist, A, Owman, T.Complications of percutaneous transhepatic catheterization of the portal vein and its tributaries. Acta Radiolog 1980; 21: 593601.CrossRefGoogle ScholarPubMed
Hongxin, L, Wenbin, G, Lijun, S, et al. Intraoperative device closure of secundum atrial septal defect with a right anterior minithoracotomy in 100 patients. J Thorac Cardiovasc Surg 2007; 134: 946951.CrossRefGoogle ScholarPubMed