Skip to main content

Advertisement

SpringerLink
Log in

Transcatheter Closure of a Secundum Atrial Septal Defect with Deficient Aortic Rim Through the Left Internal Jugular Vein in a Child with Situs Inversus and Interrupted Inferior Vena Cava: Device’s Choice Matters

  • Case Report
  • Published:
Pediatric Cardiology Aims and scope Submit manuscript

Abstract

Percutaneous closure of secundum atrial septal defect (sASD) in children with interrupted inferior vena cava is challenging, especially in case of deficient aortic rim. Trans-jugular access is generally preferred in this scenario. Patients with situs inversus and sASD also carry technical difficulties for transcatheter closure because of the orientation of the atrial septum. We report a successful case of percutaneous closure of a sASD with deficient aortic rim using an occlutech figulla flex II ASD device through the left internal jugular vein in a child with situs inversus, dextrocardia, and interrupted IVC. This case was facilitated by the absence of left-sided hub of the Occlutech device to provide stable opening of the device into the left atrium, whereas the ball-connection of the delivery system allowed an angle of almost 180 degrees between the device and the atrial septum.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Du ZD, Hijazi ZM, Kleinman CS, Silverman NH, Larntz K (2002) Comparison between transcatheter and surgical closure of secundum atrial septal defect in children and adults. J Am Coll Cardiol 39(11):1836–1844

    Article  Google Scholar 

  2. Shim D, Lloyd TR, Beekman RH (1999) Transhepatic therapeutic cardiac catheterization: a new option for the pediatric interventionalist. Catheter Cardiovasc Interv 47(1):41–45. https://doi.org/10.1002/(sici)1522-726x(199905)47:1%3c41::aid-ccd8%3e3.0.co;2-y

    Article  CAS  PubMed  Google Scholar 

  3. Ozbarlas N, Kiziltas A, Kucukosmanoglu O, Erdem S (2012) Transjugular approach to device closure of atrial septal defect. Tex Hear Inst J 39(3):435–437

    Google Scholar 

  4. Seshagiri RD, Patnaik AN, Srinivas B (2013) Percutaneous closure of atrial septal defect via transjugular approach with blockaid device in a patient with interrupted inferior vena cava. Cardiovasc Interv Ther 28(1):63–65. https://doi.org/10.1007/s12928-012-0113-4

    Article  PubMed  Google Scholar 

  5. Truong QB, Dao AQ, Do NT, Le MK (2018) Percutaneous atrial septal defect closure through femoral and transjugular approaches in patients with interrupted inferior vena cava. J Cardiol Cases 18(3):106–109. https://doi.org/10.1016/j.jccase.2018.05.007

    Article  PubMed  PubMed Central  Google Scholar 

  6. Oliveira EC, Moura MAG, Almeida JA, Ribeiro ALP, Nascimento BR (2019) Percutaneous closure of ostium secundum atrial septal defect using left internal jugular vein access in a child with situs inversus and absence of inferior caval vein. Cardiol Young 29(10):1310–1312. https://doi.org/10.1017/S1047951119002099

    Article  PubMed  Google Scholar 

  7. Acharya KP, Adhikari CM, Khanal A et al (2019) Transcatheter device closure of atrial septal defect in dextrocardia with situs inversus totalis. Nepal Heart J 16(1):51–53. https://doi.org/10.3126/njh.v16i1.23901

    Article  Google Scholar 

  8. Yerram S, Aramalla S, Bhyravavajhala S (2020) Unconventional deployment of atrial septal occluder in a patient with atrial septal defect, dextrocardia, and interrupted inferior vena cava. Cardiol Young 30(8):1206–1208. https://doi.org/10.1017/S104795112000178X

    Article  PubMed  Google Scholar 

  9. Haas NA, Happel CM, Soetemann DB et al (2016) Optimal septum alignment of the Figulla® Flex occluder to the atrial septum in patients with secundum atrial septal defects. EuroIntervention 11(10):1153–1160. https://doi.org/10.4244/EIJY14M12_09

    Article  PubMed  Google Scholar 

Download references

Author information

Author notes

  1. Enrico Piccinelli and Carles Bautista-Rodriguez have contributed equally to this work.

Authors and Affiliations

  1. Paediatric Cardiology Services, Royal Brompton Hospital and Harefield NHS Foundation Trust, Sydney Street, London, SW3 6NP, UK

    Enrico Piccinelli, Carles Bautista-Rodriguez, Tuan-Chen Aw, Oliver Bates & Alain Fraisse

  2. National Heart and Lung Institute, Imperial College London, London, UK

    Enrico Piccinelli, Carles Bautista-Rodriguez, Tuan-Chen Aw, Oliver Bates & Alain Fraisse

Authors
  1. Enrico Piccinelli
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Carles Bautista-Rodriguez
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Tuan-Chen Aw
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Oliver Bates
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Alain Fraisse
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

EP, CBR, and AF contributed in the drafting of the manuscript and final approval of the manuscript submitted. TCA and OB revised critically the manuscript and gave final approval of the manuscript submitted.

Corresponding author

Correspondence to Alain Fraisse.

Ethics declarations

Conflict of interest

Alain Fraisse is consultant and proctor for Abbott and for Occlutech. The other four authors have nothing to declare.

Ethical Approval

Yes.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Piccinelli, E., Bautista-Rodriguez, C., Aw, TC. et al. Transcatheter Closure of a Secundum Atrial Septal Defect with Deficient Aortic Rim Through the Left Internal Jugular Vein in a Child with Situs Inversus and Interrupted Inferior Vena Cava: Device’s Choice Matters. Pediatr Cardiol 42, 1879–1881 (2021). https://doi.org/10.1007/s00246-021-02708-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00246-021-02708-9

Keywords

Search

Navigation