Percutaneous atrial septal defect closure in a child with interrupted inferior vena cava: Successful femoral venous approach

• Published in: Catheterization and cardiovascular interventions Vol. 78; no. 4; pp. 590 - 593
• Main Authors: Lowry, Adam W., Pignatelli, Ricardo H., Justino, Henri
• Format: Journal Article
• Language: English
• Published: Hoboken Wiley Subscription Services, Inc., A Wiley Company 01-10-2011
• Subjects: Abnormalities, Multiple; atrial septal defect; Cardiac Catheterization - instrumentation; Cardiac Catheterization - methods; Child, Preschool; device closure; Dextrocardia - complications; Female; Femoral Vein; Heart Septal Defects, Atrial - complications; Heart Septal Defects, Atrial - therapy; Heterotaxy Syndrome - complications; Humans; interrupted inferior vena cava; Radiography, Interventional; Septal Occluder Device; Treatment Outcome; Vena Cava, Inferior - abnormalities
• ISSN: 1522-1946; 1522-726X
• DOI: 10.1002/ccd.23041

Interrupted inferior vena cava (IVC) with azygous continuation to the superior vena cava (SVC) is a relatively common systemic venous anomaly. This anomaly can occasionally complicate transcatheter intervention by rendering more difficult the usual direct route to the systemic venous atrium afforded by femoral venous access. We report our experience with successful transcatheter closure of a large residual atrial septal defect (ASD) using the femoral venous route in a 3‐year‐old patient with heterotaxy syndrome of left isomerism type, dextrocardia, partial atrioventricular canal defect, and interrupted IVC with azygous continuation to the SVC. © 2011 Wiley‐Liss, Inc.