Unconventional deployment of atrial septal occluder in a patient with atrial septal defect, dextrocardia, and interrupted inferior vena cava

Cardiol Young. 2020 Aug;30(8):1206-1208. doi: 10.1017/S104795112000178X. Epub 2020 Jun 29.

Abstract

An atrial septal defect is a rare anomaly in patients with interrupted inferior vena cava, which renders the percutaneous intervention more complex; and hence, innovative approaches should be sought. Dextrocardia further complicates the procedure, and traditional atrial septal device deployment methods cannot be employed. We report a successful percutaneous secundum atrial septal defect closure by a novel deployment strategy along with balloon dilation of associated severe valvular pulmonary stenosis in a patient with dextrocardia and interrupted inferior vena cava.

Keywords: Atrial septal defect; dextrocardia; interrupted inferior vena cava.

MeSH terms

  • Cardiac Catheterization
  • Dextrocardia* / complications
  • Heart Septal Defects, Atrial* / complications
  • Heart Septal Defects, Atrial* / diagnosis
  • Heart Septal Defects, Atrial* / surgery
  • Humans
  • Septal Occluder Device*
  • Vena Cava, Inferior / diagnostic imaging