Atrial septoplasty through internal jugular venous access in an infant with transposition of great arteries: technical challenges and solutions

We describe a 3-month-old infant with transposition of great arteries and restrictive foramen ovale who presented with severe cyanosis. Child had a large thrombus causing near-total occlusion of the inferior caval vein. An emergency atrial septoplasty was performed via internal jugular venous access. The case emphasises the technical challenges faced while performing this procedure through jugular approach and plausible solutions to overcome these challenges.

Premature closure foramen ovale: clinical cases and literature review

Objectives. A retrospective analysis of 3 fetuses with restrictive foramen ovale (RFO) ana literature review was performed. Results. Right heart dilatation revealed in all cases, hypermobile foramen ovale (FO) valve was in one fetus, hypormobile valve was in two fetuses and fetal bradycardia was in one fetus. There were no other heart congenital malformations. Сesarean section were performed at term in two cases and one had term spontaneous labor. Outcomes were normal. Преждевременное закрытие овального окна: анализ клинических случаев и обзор литературы 54 2017 Т 16 № 1; 44-54 ПРЕНАТАЛЬНАЯ ДИАГНОСТИКА Conclusion: (1) examination of intracardiac hemodynamic is one of the important tasks of ultrasound screening at term, (2) right heart dilatation requires a differential diagnosis and exclusion of RFO, (3) the atrias should be examined in four-chamber and sagittal bicaval views, (4) identification of the RFO in early pregnancy, or a combination of the RFO with structural heart disease are associated with poor fetal and neonatal outcomes, (5) RFO is often combined with extracardiac malformations, (6) newborns with RFO may develop pulmonary hypertension, (7) cesarean section is not essential for the fetus with RFO.