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Atrial septoplasty through internal jugular venous access in an infant with transposition of great arteries: technical challenges and solutions

Part of: Interventional Cardiology

Published online by Cambridge University Press:  26 July 2021

Jay Relan Open the ORCID record for Jay Relan [Opens in a new window] ,
Balaji Arvind Open the ORCID record for Balaji Arvind [Opens in a new window]  and
Sivasubramanian Ramakrishnan
Jay Relan
Affiliation:
Department of Cardiology, All India Institute of Medical Sciences, New Delhi110029, India
Balaji Arvind
Affiliation:
Department of Cardiology, All India Institute of Medical Sciences, New Delhi110029, India
Sivasubramanian Ramakrishnan*
Affiliation:
Department of Cardiology, All India Institute of Medical Sciences, New Delhi110029, India
*
Author for correspondence: Dr Sivasubramanian Ramakrishnan, MD, DM, FACC, All India Institute of Medical Sciences, New Delhi110029, India. Tel: +91 9818186179. E-mail: ramaaiims@gmail.com
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Abstract

We describe a 3-month-old infant with transposition of great arteries and restrictive foramen ovale who presented with severe cyanosis. Child had a large thrombus causing near-total occlusion of the inferior caval vein. An emergency atrial septoplasty was performed via internal jugular venous access. The case emphasises the technical challenges faced while performing this procedure through jugular approach and plausible solutions to overcome these challenges.

Keywords

Balloon atrial septostomycongenital heart diseasecyanosisinferior caval vein occlusion
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 2 , February 2022 , pp. 328 - 330
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Feltes, TF, Bacha, E, Beekman, RH III, et al. Indications for cardiac catheterization and intervention in pediatric cardiac disease: a scientific statement from the American Heart Association. Circulation 2011; 123: 2607–2652.CrossRefGoogle ScholarPubMed
Padhi, SS, Bakshi, KD, Londhe, AP. Balloon atrial septostomy through internal jugular vein in a 45-day old child with transposition of great arteries. Ann Pediatr Cardiol 2010; 3: 77–79.CrossRefGoogle Scholar
Mackie, SA, Aiyagari, R, Zampi, JD. Balloon atrial septostomy by a right internal jugular venous approach in a newborn with hypoplastic left heart syndrome with a restrictive atrial septum. Congenit Heart Dis 2014; 9: E140–E142.CrossRefGoogle Scholar