Transjugular approach to device closure of atrial septal defect in a child with heterotaxia and interrupted inferior vena cava.
In heterotaxia syndrome with left atrial isomerism, the distinguishing feature is interrupted inferior vena cava with azygos continuation. We report using a transjugular approach to device closure of an atrial septal defect in an 8-year-old boy with heterotaxia syndrome. We found that device closure of the child's atrial septal defect through a jugular venous approach was safe when an inferior vena cava approach was not possible. To our knowledge, ours is the first report of the use of internal jugular vein access to close an atrial septal defect in a child.
Division of Pediatric Cardiology, Faculty of Medicine, University of Cukurova, 01330 Adana, Turkey.
Nazan
N
Ozbarlas
Alev
A
Kiziltas
Osman
O
Kucukosmanoglu
Sevcan
S
Erdem
D000015:Abnormalities, Multiple; D006328:Cardiac Catheterization / Q000295:instrumentation / Q000379:methods; D002648:Child; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000628:therapy*; D059446:Heterotaxy Syndrome / Q000150:complications*; D006801:Humans; D007601:Jugular Veins; D008297:Male; D055989:Septal Occluder Device; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000002:abnormalities*