Percutaneous closure of atrial septal defect via transjugular approach with the Amplatzer septal occluder after unsuccessful attempt using the CardioSEAL device.
Percutaneous closure of a secundum atrial septal defect was performed successfully via the jugular approach in a 77-year-old patient with heparin-induced thrombocytopenia and total occlusion of the inferior vena cava using the Amplatzer septal occluder after an unsuccessful attempt using the CardioSEAL septal occluder. This case demonstrates the advantages of the jugular approach in the patient with difficult anatomy and the advantage of the Amplatzer over the CardioSEAL device in this situation.
Sullebarger
J Thompson
JT
Tampa General Hospital, Tampa, Florida, USA. jsullebarger@fciheart.com
Sayad
Dany
D
Gerber
Lowell
L
Ettedgui
Jose
J
Jimmo-Waumans
Sonia
S
Alcebo
Patricia C
PC
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D006328:Cardiac Catheterization; D003131:Combined Modality Therapy; D020878:Device Removal; D017548:Echocardiography, Transesophageal; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D004867:Equipment Design; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000628:therapy; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D013921:Thrombocytopenia / Q000000981:diagnostic imaging / Q000628:therapy; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy