Secundum Atrial Septal Defect With Interrupted Inferior Vena Cava and Azygos Continuation: Transfemoral Closure in a 3-Year Old Boy

A secundum atrial septal defect (ASD 2) was closed percutaneously via the transfemoral approach in a 3-year-old boy with interrupted inferior vena cava and azygos continuation. The procedure was guided by transesophageal echocardiography and fluoroscopy using conscious sedation. Successful transhepa...

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Veröffentlicht in:	Pediatric cardiology 2013-02, Vol.34 (2), p.459-461
Hauptverfasser:	Flosdorff, Patrick, Paech, Christian, Dähnert, Ingo
Format:	Artikel
Sprache:	eng
Schlagworte:	Abnormalities, Multiple Azygos Vein - abnormalities Cardiac Catheterization - methods Cardiac Surgery Cardiac Surgical Procedures - methods Cardiology Case Report Child, Preschool Echocardiography, Transesophageal Femoral Artery Fluoroscopy Heart Septal Defects, Atrial - diagnosis Heart Septal Defects, Atrial - surgery Humans Male Medicine Medicine & Public Health Pediatric cardiology Septal Occluder Device Vascular Malformations - diagnosis Vascular Surgery Vena Cava, Inferior - abnormalities
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Zusammenfassung:	A secundum atrial septal defect (ASD 2) was closed percutaneously via the transfemoral approach in a 3-year-old boy with interrupted inferior vena cava and azygos continuation. The procedure was guided by transesophageal echocardiography and fluoroscopy using conscious sedation. Successful transhepatic and jugular accesses in similar patients are described. This is the first pediatric report describing a transfemoral closure of a secundum atrial septum defect via azygos continuation.
ISSN:	0172-0643 1432-1971
DOI:	10.1007/s00246-012-0307-7