scholarly journals Transjugular closure of secundum atrial septal defect in a patient with interrupted inferior vena cava

2018 ◽  
Vol 4 (1) ◽  
pp. 15 ◽  
Author(s):  
Emre Ozdemir ◽  
SadikVolkan Emren ◽  
NihanKahya Eren ◽  
Cem Nazli ◽  
Mehmet Tokac
Keyword(s):  
Inferior Vena Cava ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Inferior Vena ◽  
Vena Cava ◽  
Secundum Atrial Septal Defect

scholarly journals Inferior Vena Cava Obstruction Following Surgical Repair of a Secundum Atrial Septal Defect

2021 ◽  
Vol 3 (1) ◽  
pp. 82-86
Author(s):  
Pranav Patel ◽  
Aaron Lee ◽  
Jordan Zaid ◽  
John Tenuto ◽  
Brett Waldman ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Inferior Vena ◽  
Surgical Repair ◽  
Vena Cava ◽  
Secundum Atrial Septal Defect ◽  
Inferior Vena Cava Obstruction

scholarly journals Secundum Atrial Septal Defect Closure via the Transhepatic Approach in a Patient With Situs Ambiguus and a Left-Sided Inferior Vena Cava

2021 ◽  
Vol 9 ◽  
pp. 232470962110452
Author(s):  
Abdulbaril Olagunju ◽  
Nawfal Mihyawi ◽  
Carmel Moazez ◽  
Ranjini Raina Roy ◽  
Azar Mehdizadeh ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Inferior Vena ◽  
Vena Cava ◽  
Secundum Atrial Septal Defect ◽  
Initial Attempt ◽  
Transfemoral Approach ◽  
Atrial Septal Defect Closure ◽  
Situs Ambiguus

Secundum atrial septal defect (ASD) is the most common type of ASD. Symptoms including dyspnea on exertion usually manifest in the third and fourth decade of life. The transcatheter closure is the treatment of choice for secundum ASD. The transfemoral venous approach has been the mainstay. However, this approach can be challenging or impossible in patients with congenital absence or interruption of the inferior vena cava (IVC). The latter has been reported in patients with situs ambiguus and inversus. In this patient population, other forms of venous access such as the transjugular or transhepatic approach are used. We present a unique case of symptomatic secundum ASD in a patient who was incidentally found to have situs ambiguus with a left-sided intact IVC. An initial attempt at the ASD closure via the transfemoral approach was unsuccessful due to acute angulation. A repeat attempt was successful via the transhepatic approach with the guidance of real-time ultrasound, transesophageal echocardiogram, and the involvement of an interventional radiologist. The procedure was well tolerated without any complications. Repeat transthoracic echocardiogram with agitated saline the day after the procedure was negative for interatrial shunting.

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