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Transcatheter occlusion of a persistent left superior vena cava to the left atrium using the transseptal approach
Author(s) -
Zampi Jeffrey D.,
SznycerTaub Nathaniel R.,
Grifka Ronald G.
Publication year - 2013
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.24884
Subject(s) - medicine , persistent left superior vena cava , cardiology , coronary sinus , occlusion , left atrium , shunt (medical) , surgery , atrial fibrillation
A persistent left superior vena cava (LSVC) is a common venous anomaly, occurring in up to 10% of patients with congenital heart defects. Usually, a LSVC drains into the coronary sinus, then to the right atrium. The LSVC can drain directly to the left atrium, resulting in a right‐to‐left shunt and systemic desaturation. Historically, surgery has been used to address this lesion. Transcatheter occlusion of the LSVC is an alternative to surgery. We report the novel use of the transseptal approach to access the LSVC, and device occlusion using the Amplatzer Vascular Plug‐II. © 2013 Wiley Periodicals, Inc.