Transhepatic device closure of atrial septal defect in children associated with interrupted inferior vena cava

Abstract

Percutaneous transcatheter closure of fossa ovalis atrial septal defect (FOASD) is an established procedure. When femoral venous approach is unfeasible due to interrupted inferior vena cava (IVC) or occluded femoral veins, other interventional methods through transjugular, transhepatic approach, or surgical closure can be performed. We report two cases of transhepatic device closure of FOASD associated with IVC interruption successfully performed without any complications.

Keywords

• atrial septal defect
• interrupted inferior vena cava
• septal occluder
• transcatheter closure
• transhepatic approach