How to deal with atrial septal defect closure from right internal jugular vein: Role of venous-arterial circuit for sizing and over-the-wire device implantation

2016 ◽  
Vol 89 (1) ◽  
pp. 120-123 ◽  
Author(s):  
Gianfranco Butera ◽  
Nicusor Lovin ◽  
Domenica Paola Basile
Keyword(s):  
Atrial Septal Defect ◽  
Internal Jugular Vein ◽  
Septal Defect ◽  
Jugular Vein ◽  
Defect Closure ◽  
Atrial Septal Defect Closure ◽  
Device Implantation ◽  
The Wire

The road less travelled: percutaneous closure of a secundum atrial septal defect through the left internal jugular vein

2021 ◽  
pp. 1-2
Author(s):  
Kamel Shibbani ◽  
Bassel Mohammad Nijres ◽  
Osamah Aldoss
Keyword(s):  
Atrial Septal Defect ◽  
Internal Jugular Vein ◽  
Septal Defect ◽  
Jugular Vein ◽  
Defect Closure ◽  
Left Internal Jugular Vein ◽  
Secundum Atrial Septal Defect ◽  
Atrial Septal Defect Closure ◽  
Femoral Access ◽  
The Road

Abstract In cases where femoral access is untenable for secundum atrial septal defect closure, the internal jugular vein can be used instead. We report a case of atrial septal defect closure in a patient with significant vascular thrombosis, requiring the use of the left internal jugular vein for access. To the best of our knowledge, this is the first report that documents the use of the left internal jugular vein for atrial septal defect closure in a patient with situs solitus anatomy.

scholarly journals The role of real time 3D-transesophageal echocardiography for safe and successful atrial septal defect closure

2019 ◽  
Vol 4 ◽  
pp. 19-19
Author(s):  
Thomas C. Turner ◽  
Greg Means ◽  
Thelsa Weickert ◽  
John P. Vavalle
Keyword(s):  
Atrial Septal Defect ◽  
Transesophageal Echocardiography ◽  
Real Time ◽  
Septal Defect ◽  
Defect Closure ◽  
Atrial Septal Defect Closure ◽  
3D Transesophageal Echocardiography

Percutaneous closure of ostium secundum atrial septal defect using left internal jugular vein access in a child with situs inversus and absence of inferior caval vein

2019 ◽  
Vol 29 (10) ◽  
pp. 1310-1312
Author(s):  
Edmundo C. Oliveira ◽  
Marco A. G. Moura ◽  
José A. Almeida ◽  
Antonio L. P. Ribeiro ◽  
Bruno R. Nascimento
Keyword(s):  
Atrial Septal Defect ◽  
Internal Jugular Vein ◽  
Situs Inversus ◽  
Septal Defect ◽  
Jugular Vein ◽  
Left Internal Jugular Vein ◽  
Caval Vein ◽  
Atrial Septal Defect Closure ◽  
Inferior Caval Vein ◽  
Vein Access

AbstractFemoral vein access is the first choice for percutaneous atrial septal defect closure, and when it cannot be used due to anatomic reasons, the alternative sites should be considered, frequently increasing the complexity of the procedure. Here we report the case of a 3-year-old boy, with situs inversus and dextrocardia, electively referred for percutaneous closure of an ostium secundum atrial septal defect. During the procedure, agenesis of the infra-hepatic segment of the inferior caval vein was diagnosed, and no double inferior caval vein or right superior caval vein were identified by ultrasound or angiography. Therefore, we opted to perform the procedure through the left internal jugular vein, with fluoroscopy and transesophageal echocardiographic guidance. Catheters were navigated through a hydrophilic guidewire, and a Stiff guidewire was positioned in the left ventricle for better support. An Amplatzer septa occluder 19 was successfully deployed without major difficulties and the patient was discharged after 24 hours in good clinical condition. Percutaneous atrial septal defect closure through alternative access sites, especially in the presence of situs inversus, may pose significant challenges to the interventional team. In this case, the left internal jugular vein has shown to be a feasible option, allowing the navigation and manipulation of devices without complications. Provided the expertise of the interventional team, and awareness of the risks involved, alternative access sites can be successfully used for paediatric structural interventions.

scholarly journals Left Atrial Appendage Closure Device Implantation After Percutaneous Atrial Septal Defect Closure

2016 ◽  
Vol 9 (10) ◽  
pp. e95-e96 ◽  
Author(s):  
Damion Heersink ◽  
Dale Murdoch ◽  
Julie Humphries ◽  
Darren L. Walters
Keyword(s):  
Atrial Septal Defect ◽  
Left Atrial ◽  
Septal Defect ◽  
Left Atrial Appendage ◽  
Atrial Appendage ◽  
Closure Device ◽  
Defect Closure ◽  
Left Atrial Appendage Closure ◽  
Atrial Septal Defect Closure ◽  
Device Implantation

scholarly journals Iatrogenic Narrowing of Inferior Vena Cava after Atrial Septal Defect Closure: The Role of Intraoperative Echocardiography

2015 ◽  
Vol 3 (2) ◽  
pp. 48-51 ◽  
Author(s):  
Thomas Mathew ◽  
Shrinivas Gadhinglajkar ◽  
Rupa Sreedhar ◽  
Pravin Lovhale ◽  
Neeraj Tapdia
Keyword(s):  
Inferior Vena Cava ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Inferior Vena ◽  
Vena Cava ◽  
Defect Closure ◽  
Atrial Septal Defect Closure ◽  
Intraoperative Echocardiography ◽  
Surgical Closure

ABSTRACT Single-patch closure of a superior sinus venosus atrial septal defect (SVASD) may be complicated with narrowing of inferior vena cava (IVC). If the pressure gradient across the narrowed portion of superior vena cava (SVC) exceeds 6 mm Hg, widening of SVC lumen is considered. No such guidelines are available in literature for narrowing of inferior vena cava in cardiac surgical patients. We describe an incident of inferior narrowing of inferior vena cava in a 10-year-old girl, who was operated for closure of an inferior type of ostium secundum ASD (OSASD). There was hepatic venous dilatation accompanied with gradient of 3 mm Hg at the junction of inferior vena cava and right atrium (RA). The cardiopulmonary bypass was reestablished and the surgical closure of the septal defect was revised to rectify the problem. How to cite this article Gadhinglajkar S, Sreedhar R, Lovhale P, Mathew T, Tapdia N. Iatrogenic Narrowing of Inferior Vena Cava after Atrial Septal Defect Closure: The Role of Intraoperative Echocardiography. J Perioper Echocardiogr 2015;3(2):48-51.

scholarly journals A CASE OF SUCCESSFUL TREATMENT OF A PATIENT WITH HIGH PULMONARY HYPERTENSION BY IMPLANTATION OF AN OCCLUDER IN AN ATRIAL SEPTAL DEFECT

2019 ◽  
Vol 33 (4) ◽  
pp. 136-142
Author(s):  
D. A. Korzh ◽  
A. N. Samko ◽  
M. G. Gorbunov ◽  
A. A. Larionov ◽  
D. P. Gaponov ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Systolic Pressure ◽  
Pulmonary Artery Systolic Pressure ◽  
Closure Device ◽  
Defect Closure ◽  
Atrial Septal Defect Closure ◽  
X Ray ◽  
Device Implantation

Aim: the purpose of this publication is to demonstrate the safety and efficacy of the endovascular method of treatment for long-existing, neglected, and fairly common congenital heart defects such as an atrial septal defect with high pulmonary hypertension.Material and Methods. We present a clinical case of the successful X-ray endovascular treatment of a 48-year-old female patient with a high pulmonary hypertension diagnosed with congenital heart disease, atrial septal defect. Clinical and instrumental examination included standard resting electrocardiography, echocardiography, and catheterization of the right heart and the pulmonary artery. Surgical treatment consisted in an X-ray endovascular implantation of the 40-mm atrial septal defect closure device via the transfemoral access. Post-operative follow up care lasted for 15 months.Results. Echocardiography study showed the left ventricular ejection fraction of 53 mL; congenital heart disease was characterized by 2.5-cm secondary central atrial septal defect and a variable pressure release. Pulmonary artery systolic pressure was 120 mmHg. Catheterization of the right heart and the pulmonary artery showed blood flow with the presence of leftto-right shunting equal to Qp/Qs=2.0/1. An X-ray endovascular atrial septal defect surgery was conducted in an X-ray operation room via a standard transfemoral access. The surgery consisted in X-ray endovascular atrial septal defect occlusion with an implantation of an atrial septal defect closure device with 40-mm neck diameter. Intraoperative echocardiography study showed that the closure device was placed correctly with no signs of residual bleeding. The final echocardiography performed in three days showed the condition after atrial septal defect closure device implantation. The defect was tightly closed. Pulmonary artery systolic pressure was 83 mmHg. Hospital stay lasted for three days. Follow-up echocardiography study at 15 months showed the condition after atrial septal defect closure device implantation. The defect was tightly closed. Pulmonary artery systolic pressure was 46 mmHg.Conclusion. There are currently two types of treatment: open surgery such as suturing or plastic  urgery with extracorporeal blood circulation and X-ray endovascular occlusion of the atrial septal defect by implantation of a special device. The X-ray endovascular treatment of an atrial septal defect with a closure device implantation is a highly effective and safe procedure. The main advantages of this method are as follows: surgery does not require anesthesia, incision, and heart-lung bypass whereas reimplantation and repositioning of the device is always feasible. 

scholarly journals Atrial septal defect closure on cardiopulmonary bypass in a sickle cell anemia: Role of hydroxyurea and partial exchange transfusion

2010 ◽  
Vol 13 (2) ◽  
pp. 145 ◽  
Author(s):  
SanantaKumar Dash ◽  
BharatN Shah ◽  
CB Upasani ◽  
KundanSandugir Gosavi
Keyword(s):  
Cardiopulmonary Bypass ◽  
Atrial Septal Defect ◽  
Sickle Cell ◽  
Sickle Cell Anemia ◽  
Exchange Transfusion ◽  
Septal Defect ◽  
Defect Closure ◽  
Atrial Septal Defect Closure

scholarly journals Role of animal models for percutaneous atrial septal defect closure

2018 ◽  
Vol 10 (S24) ◽  
pp. S2966-S2974
Author(s):  
Zakaria Jalal ◽  
Pierre-Emmanuel Seguela ◽  
Alban-Elouen Baruteau ◽  
David Benoist ◽  
Olivier Bernus ◽  
...  
Keyword(s):  
Animal Models ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Defect Closure ◽  
Atrial Septal Defect Closure
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