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Unconventional deployment of atrial septal occluder in a patient with atrial septal defect, dextrocardia, and interrupted inferior vena cava

Published online by Cambridge University Press:  29 June 2020

Sreekanth Yerram*
Affiliation:
Department of Cardiology, Nizam’s Institute of Medical Sciences, Hyderabad, India
Sunitha Aramalla
Affiliation:
Department of Cardiology, Nizam’s Institute of Medical Sciences, Hyderabad, India
Srinivas Bhyravavajhala
Affiliation:
Department of Cardiology, Nizam’s Institute of Medical Sciences, Hyderabad, India
*
Author for correspondence: Sreekanth Yerram, MD, DM, Nizam’s Institute of Medical Sciences, Panjagutta, 500082Hyderabad, India. Tel: +91 9490879029. E-mail: sreeyerram@gmail.com

Abstract

An atrial septal defect is a rare anomaly in patients with interrupted inferior vena cava, which renders the percutaneous intervention more complex; and hence, innovative approaches should be sought. Dextrocardia further complicates the procedure, and traditional atrial septal device deployment methods cannot be employed. We report a successful percutaneous secundum atrial septal defect closure by a novel deployment strategy along with balloon dilation of associated severe valvular pulmonary stenosis in a patient with dextrocardia and interrupted inferior vena cava.

Type
Brief Report
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

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Yerram et al. supplementary material

Yerram et al. supplementary material

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