Open Access

ARTICLE

Successful Percutaneous Closure of Atrial Septal Defect via Transjugular Approach with the Cocoon Septal Occluder

Maria Drakopoulou¹, George Oikonomou¹, Stergios Soulaidopoulos¹, Basil Thanopoulos², Konstantina Aggeli¹, Dimitrios Tousoulis¹, Konstantinos Toutouzas^1,*

1 First Department of Cardiology, Athens University, Hippokration Hospital, Athens, Greece
2 Department of Pediatric Cardiology, “Agios” Lukas Clinic, Thessaloniki, Greece

* Corresponding Author: Konstantinos Toutouzas. Email:

Congenital Heart Disease 2020, 15(3), 147-151. https://doi.org/10.32604/CHD.2020.011338

Received 03 May 2020; Accepted 28 June 2020; Issue published 15 July 2020

Abstract

The percutaneous closure of ostium secundum atrial septal defects (ASD) is a well-established procedure. Currently available devices and delivery systems are designed to be used via the femoral venous route. However, an alternative approach needs to be considered in cases of congenital or acquired caval obstruction. We describe a successful transjugular closure of a moderate sized secundum ASD with the Cocoon Septal Occluder in a 37-year-old symptomatic woman with inferior vena cava (IVC) thrombosis, using a novel deployment technique to overcome difficulties, namely maintaining stable sheath position in the left atrium. Percutaneous closure of secundum ASDs via the transjugular approach is safe, feasible and effective and can be a reasonable alternative to surgical closure in patients with failed femoral venous access and not anatomically complex atrial septal defects.

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Keywords

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