Transhepatic device closure of large atrial septal defect.
Ata FirouziSedigheh SaediTahereh SaediPublished in: Cardiology in the young (2021)
Transcatheter closure of secundum-type atrial septal defects has become the treatment of choice in the majority of cases. Femoral venous access is the standard rout for device implantation. Anatomic abnormalities of venous system including interrupted inferior caval vein with azygous continuation can make the percutaneous procedure more complicated. In such instances, alternative methods of transjugular or transhepatic approach or surgical repair should be considered. We present the case of a 50-year-old male with secundum-type atrial septal defect and a rare form of segmental interruption of inferior caval vein and describe successful atrial septal defect closure through transfemoral approach.
Keyphrases
- atrial fibrillation
- left atrial
- catheter ablation
- inferior vena cava
- minimally invasive
- vena cava
- transcatheter aortic valve implantation
- transcatheter aortic valve replacement
- heart failure
- left ventricular
- aortic valve replacement
- hypertrophic cardiomyopathy
- ultrasound guided
- pulmonary embolism
- combination therapy