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Device closure of patent ductus arteriosus in interrupted inferior vena cava

INTRODUCTION: A 3-year-old child, weighing 8 kg, presented with patent ductus arteriosus (PDA) and interrupted inferior vena cava (IVC). The patient underwent successful PDA device closure via transjugular route after failing attempt at femoral venous route. CASE SUMMARY: PDA device closure was atte...

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Detalles Bibliográficos
Autores principales: Aggarwal, Neeraj, Agarwal, Mridul, Joshi, Raja, Joshi, Reena K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799014/
https://www.ncbi.nlm.nih.gov/pubmed/26995443
http://dx.doi.org/10.1016/j.ihj.2015.09.015
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author Aggarwal, Neeraj
Agarwal, Mridul
Joshi, Raja
Joshi, Reena K.
author_facet Aggarwal, Neeraj
Agarwal, Mridul
Joshi, Raja
Joshi, Reena K.
author_sort Aggarwal, Neeraj
collection PubMed
description INTRODUCTION: A 3-year-old child, weighing 8 kg, presented with patent ductus arteriosus (PDA) and interrupted inferior vena cava (IVC). The patient underwent successful PDA device closure via transjugular route after failing attempt at femoral venous route. CASE SUMMARY: PDA device closure was attempted via femoral venous route but could not be accomplished due to difficult curves to negotiate. Following this, PDA could be closed by device from jugular venous route with ease. DISCUSSION: Interrupted IVC poses challenges for PDA device closure and various alternative routes are described like internal jugular, transhepatic, or femoral venous – azygous route. Our case describes difficulties associated with femoral venous route and advantages of jugular venous route in such cases. CONCLUSION: Internal jugular access is a safe and feasible method of PDA device closure in cases of interrupted IVC even in smaller children.
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spelling pubmed-47990142016-12-01 Device closure of patent ductus arteriosus in interrupted inferior vena cava Aggarwal, Neeraj Agarwal, Mridul Joshi, Raja Joshi, Reena K. Indian Heart J Case Report INTRODUCTION: A 3-year-old child, weighing 8 kg, presented with patent ductus arteriosus (PDA) and interrupted inferior vena cava (IVC). The patient underwent successful PDA device closure via transjugular route after failing attempt at femoral venous route. CASE SUMMARY: PDA device closure was attempted via femoral venous route but could not be accomplished due to difficult curves to negotiate. Following this, PDA could be closed by device from jugular venous route with ease. DISCUSSION: Interrupted IVC poses challenges for PDA device closure and various alternative routes are described like internal jugular, transhepatic, or femoral venous – azygous route. Our case describes difficulties associated with femoral venous route and advantages of jugular venous route in such cases. CONCLUSION: Internal jugular access is a safe and feasible method of PDA device closure in cases of interrupted IVC even in smaller children. Elsevier 2015-12 2016-01-18 /pmc/articles/PMC4799014/ /pubmed/26995443 http://dx.doi.org/10.1016/j.ihj.2015.09.015 Text en © 2016 Published by Elsevier B.V. on behalf of Cardiological Society of India. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Aggarwal, Neeraj
Agarwal, Mridul
Joshi, Raja
Joshi, Reena K.
Device closure of patent ductus arteriosus in interrupted inferior vena cava
title Device closure of patent ductus arteriosus in interrupted inferior vena cava
title_full Device closure of patent ductus arteriosus in interrupted inferior vena cava
title_fullStr Device closure of patent ductus arteriosus in interrupted inferior vena cava
title_full_unstemmed Device closure of patent ductus arteriosus in interrupted inferior vena cava
title_short Device closure of patent ductus arteriosus in interrupted inferior vena cava
title_sort device closure of patent ductus arteriosus in interrupted inferior vena cava
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799014/
https://www.ncbi.nlm.nih.gov/pubmed/26995443
http://dx.doi.org/10.1016/j.ihj.2015.09.015
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