Veno-arterial rail and over the wire technique for atrial septal defect closure in a patient with interrupted inferior venae cava.

ABSTRACT: Transcatheter closure of secundum atrial septal defect (ASD II) is considered the treatment of choice when anatomically suitable and clinically indicated. This is routinely done through the inferior vena cava via a femoral venous approach; however, certain anatomical anomalies, such as congenital interruption of inferior vena cava with azygos continuation, render the delivery of the device either difficult or not possible. When this anomaly is also associated with dextrocardia, the technical challenge increases further due to the unusual orientation of the interatrial septum. We describe a case of transcatheter closure of ASD II via left internal jugular vein approach with some modification of the standard technique. We used a combination of veno-arterial rail by parking the super-stiff wi

SUBMITTER: Mansour A 

PROVIDER: S-EPMC8319619 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature