Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-23T02:22:12.176Z Has data issue: false hasContentIssue false

Unconventional deployment of atrial septal occluder in a patient with atrial septal defect, dextrocardia, and interrupted inferior vena cava

Published online by Cambridge University Press:  29 June 2020

Sreekanth Yerram*
Affiliation:
Department of Cardiology, Nizam’s Institute of Medical Sciences, Hyderabad, India
Sunitha Aramalla
Affiliation:
Department of Cardiology, Nizam’s Institute of Medical Sciences, Hyderabad, India
Srinivas Bhyravavajhala
Affiliation:
Department of Cardiology, Nizam’s Institute of Medical Sciences, Hyderabad, India
*
Author for correspondence: Sreekanth Yerram, MD, DM, Nizam’s Institute of Medical Sciences, Panjagutta, 500082Hyderabad, India. Tel: +91 9490879029. E-mail: [email protected]

Abstract

An atrial septal defect is a rare anomaly in patients with interrupted inferior vena cava, which renders the percutaneous intervention more complex; and hence, innovative approaches should be sought. Dextrocardia further complicates the procedure, and traditional atrial septal device deployment methods cannot be employed. We report a successful percutaneous secundum atrial septal defect closure by a novel deployment strategy along with balloon dilation of associated severe valvular pulmonary stenosis in a patient with dextrocardia and interrupted inferior vena cava.

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Webb, G, Gatzoulis, MA.Atrial septal defects in the adult. Circulation [Internet]. 2006 Oct 10 [cited 2020 Apr 20]; 114: 16451653. Available from: https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.105.592055CrossRefGoogle ScholarPubMed
Eerola, A, Pihkala, JI, Boldt, T, Mattila, IP, Poutanen, T, Jokinen, E.Hemodynamic improvement is faster after percutaneous ASD closure than after surgery. Catheter Cardiovasc Interv. 2007; 69: 432441.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 Hear Inst J [Internet]. 2010 [cited 2020 Apr 20]; 37: 553556. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20978566Google ScholarPubMed
Oliveira, EC, Moura, MAG, Almeida, JA, Ribeiro, ALP, Nascimento, BR.Percutaneous closure of ostium secundum atrial septal defect using left internal jugular vein access in a child with situs inversus and absence of inferior caval vein. Cardiol Young [Internet]. 2019; 29 (10): 13101312. Available from: https://www.cambridge.org/core/product/identifier/S1047951119002099/type/journal_articleCrossRefGoogle Scholar
Ozdemir, E, Emren, S, Eren, N, Nazli, C, Tokac, M.Transjugular closure of secundum atrial septal defect in a patient with interrupted inferior vena cava. Int J Cardiovasc Acad. 2018; 4: 15.CrossRefGoogle Scholar

Yerram et al. supplementary material

Yerram et al. supplementary material

Download Yerram et al. supplementary material(Video)
Video 4.6 MB