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Transcatheter closure of Patent ductus arteriosus in a child with IVC interruption through standard femoral access: a case report

BACKGROUND: Portsmann and co. performed the first PDA device closure in 1967. The technique and the devices used have evolved since then and are the first choice in managing anatomically feasible patent ductus arteriosus (PDA) for the last 20 years. Though catheter-based closure of PDA is generally...

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Autores principales: Naganur, Sanjeev H., Pruthvi, C. R., Bootla, Dinakar, Prasad, Krishna, Krishna Santosh, V., Barwad, Parag
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7343687/
https://www.ncbi.nlm.nih.gov/pubmed/32642857
http://dx.doi.org/10.1186/s43044-020-00060-6
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author Naganur, Sanjeev H.
Pruthvi, C. R.
Bootla, Dinakar
Prasad, Krishna
Krishna Santosh, V.
Barwad, Parag
author_facet Naganur, Sanjeev H.
Pruthvi, C. R.
Bootla, Dinakar
Prasad, Krishna
Krishna Santosh, V.
Barwad, Parag
author_sort Naganur, Sanjeev H.
collection PubMed
description BACKGROUND: Portsmann and co. performed the first PDA device closure in 1967. The technique and the devices used have evolved since then and are the first choice in managing anatomically feasible patent ductus arteriosus (PDA) for the last 20 years. Though catheter-based closure of PDA is generally a simple procedure, there are instances when the interventionist faces challenges, especially in smaller children, with syndromic features and venous anomalies even when defects are small and pulmonary artery pressures are normal. Although the femoral vein is the relatively risk-free standard access, internal jugular vein, femoral artery, and transhepatic IVC can be used to close the PDA in different anomalies. The rare venous anomaly of infrahepatic interruption of the IVC with azygous continuation poses technical challenges when percutaneous closure of PDA was attempted through the standard femoral access. CASE PRESENTATION: We report a rare case of PDA device closure in a syndromic child with a short neck having interrupted IVC via femoral-azygous venous approach. CONCLUSION: Knowledge of the IVC course and its anomalies should be known to the operator before the percutaneous closure of PDA. Although other approaches are available, femoral vein approach can be used in case of interrupted IVC for percutaneous closure of PDA.
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spelling pubmed-73436872020-07-15 Transcatheter closure of Patent ductus arteriosus in a child with IVC interruption through standard femoral access: a case report Naganur, Sanjeev H. Pruthvi, C. R. Bootla, Dinakar Prasad, Krishna Krishna Santosh, V. Barwad, Parag Egypt Heart J Case Report BACKGROUND: Portsmann and co. performed the first PDA device closure in 1967. The technique and the devices used have evolved since then and are the first choice in managing anatomically feasible patent ductus arteriosus (PDA) for the last 20 years. Though catheter-based closure of PDA is generally a simple procedure, there are instances when the interventionist faces challenges, especially in smaller children, with syndromic features and venous anomalies even when defects are small and pulmonary artery pressures are normal. Although the femoral vein is the relatively risk-free standard access, internal jugular vein, femoral artery, and transhepatic IVC can be used to close the PDA in different anomalies. The rare venous anomaly of infrahepatic interruption of the IVC with azygous continuation poses technical challenges when percutaneous closure of PDA was attempted through the standard femoral access. CASE PRESENTATION: We report a rare case of PDA device closure in a syndromic child with a short neck having interrupted IVC via femoral-azygous venous approach. CONCLUSION: Knowledge of the IVC course and its anomalies should be known to the operator before the percutaneous closure of PDA. Although other approaches are available, femoral vein approach can be used in case of interrupted IVC for percutaneous closure of PDA. Springer Berlin Heidelberg 2020-07-09 /pmc/articles/PMC7343687/ /pubmed/32642857 http://dx.doi.org/10.1186/s43044-020-00060-6 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Case Report
Naganur, Sanjeev H.
Pruthvi, C. R.
Bootla, Dinakar
Prasad, Krishna
Krishna Santosh, V.
Barwad, Parag
Transcatheter closure of Patent ductus arteriosus in a child with IVC interruption through standard femoral access: a case report
title Transcatheter closure of Patent ductus arteriosus in a child with IVC interruption through standard femoral access: a case report
title_full Transcatheter closure of Patent ductus arteriosus in a child with IVC interruption through standard femoral access: a case report
title_fullStr Transcatheter closure of Patent ductus arteriosus in a child with IVC interruption through standard femoral access: a case report
title_full_unstemmed Transcatheter closure of Patent ductus arteriosus in a child with IVC interruption through standard femoral access: a case report
title_short Transcatheter closure of Patent ductus arteriosus in a child with IVC interruption through standard femoral access: a case report
title_sort transcatheter closure of patent ductus arteriosus in a child with ivc interruption through standard femoral access: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7343687/
https://www.ncbi.nlm.nih.gov/pubmed/32642857
http://dx.doi.org/10.1186/s43044-020-00060-6
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