Successful Percutaneous ASD Closure via Internal Jugular Vein in Azygos Continuation of Inferior Vena Cava A Case Report

Main Content Sections:

  • Study Findings
    A 32-year-old female patient with a right cavity dilation was found to have an atypical guidewire path during an attempted ASD closure. CT angiography confirmed an azygos continuation of the inferior vena cava, leading to the abandonment of the femoral approach. The successful closure was performed via the internal jugular vein under general anesthesia, with a follow-up showing favorable outcomes.
  • Key Takeaways:
    • Percutaneous closure of ASD is typically successful, but rare anatomical variations, such as azygos continuation of the inferior vena cava, pose challenges.
    • The internal jugular vein provides a viable alternative in such cases, though careful consideration and preparation are necessary.
  • Clinical Implications
    The procedure underscores the importance of individualized patient management, especially in rare conditions, and highlights the need for rigorous preoperative planning.

Integration of External Medical Sources:
The American College of Cardiology emphasizes the importance of tailored approaches in complex congenital heart defects, such as those involving ASD with anatomical anomalies.

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