Hybrid closure of a large atrial septal defect using Occlutech Flex II septal occluder in a patient with interrupted inferior caval vein

We present a case of a 31-year-old male with a large atrial septal defect, who was found to have interrupted inferior caval vein with azygous continuation to the superior caval vein, which precluded transcutaneous closure by device. The defect was successfully closed with a 33 mm Occlutech Figula se...

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Bibliographic Details
Published in:Cardiology in the young 2020-06, Vol.30 (6), p.880-882
Main Authors: Bani Hani, Amjad, Abdullattif, Mai, Al-Ammouri, Iyad
Format: Article
Language:English
Subjects:
Adult
Cardiac Catheterization - methods
Cardiopulmonary Bypass - methods
Echocardiography, Transesophageal
Heart Septal Defects, Atrial - diagnosis
Heart Septal Defects, Atrial - surgery
Hospitals
Humans
Male
Patients
Septal Occluder Device
Sutures
Thoracotomy
Treatment Outcome
Veins & arteries
Vena Cava, Inferior - abnormalities
Venous access
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Summary:We present a case of a 31-year-old male with a large atrial septal defect, who was found to have interrupted inferior caval vein with azygous continuation to the superior caval vein, which precluded transcutaneous closure by device. The defect was successfully closed with a 33 mm Occlutech Figula septal occluder using a sub-mammary small thoracotomy incision and per-atrial approach without using cardiopulmonary bypass. The patient was discharged home after 48 hours of procedure.
ISSN:1047-9511
1467-1107
DOI:10.1017/S104795112000092X