scholarly journals DEVICE CLOSURE OF AN ATRIAL SEPTAL DEFECT WITH A TWIST: INTERRUPTED INFERIOR VENA CAVA WITH AZYGOS CONTINUATION

2021 ◽  
Vol 77 (18) ◽  
pp. 2454
Author(s):  
Grace Kong ◽  
Barry Love
Author(s):  
Yusuke Enta ◽  
Shunsuke Tatebe ◽  
Yoshikatsu Saiki ◽  
Norio Tada

Without the femoral venous approach, transcatheter closure of an atrial septal defect is challenging. We performed percutaneous closure via the left subclavian vein in a patient with absence of the inferior vena cava with azygos continuation. Considering that inferior vena cava anomalies are not extremely rare among those with congenital heart disease, the left subclavian vein approach can be an alternative to the femoral approach.


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