title: Transhepatic closure of patent foramen ovale.
abstract: Transhepatic right heart catheterization is an uncommon procedure for adult interventional cardiologists. We report its successful use for closure of a patent foramen ovale in an elderly patient without femoral vein access. Also described is a novel method of using a vascular plug to achieve hemostasis of the hepatic venous access site.
authors.affiliation: Section of Cardiology, University of Chicago Medical Center, Chicago, IL 60637, USA. njolly@medicine.bsd.uchicago.edu
authors.forename: Neeraj
authors.initials: N
authors.lastname: Jolly
authors.forename: Gaurav
authors.initials: G
authors.lastname: Dhar
authors.forename: Zahid
authors.initials: Z
authors.lastname: Amin
mesh_terms: D000368:Aged; D006328:Cardiac Catheterization / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005260:Female; D054092:Foramen Ovale, Patent / Q000000981:diagnostic imaging / Q000628:therapy*; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control; D006489:Hemostatic Techniques / Q000295:instrumentation; D006503:Hepatic Veins / Q000000981:diagnostic imaging; D006801:Humans; D011677:Punctures; D055989:Septal Occluder Device; D014057:Tomography, X-Ray Computed