Related Experiment Video
Updated: Mar 24, 2026
Closure of a Patent Foramen Ovale PFO: An Intervention Sequence
Published on: December 23, 2022
Device closure of patent ductus arteriosus in interrupted inferior vena cava
Neeraj Aggarwal1, Mridul Agarwal1, Raja Joshi1
1Department of Pediatric Cardiac Sciences, Sir Ganga Ram Hospital, New Delhi, India.
Introduction:
A 3-year-old child, weighing 8 kg, presented with patent ductus arteriosus (PDA) and interrupted inferior vena cava (IVC). The patient underwent successful PDA device closure via transjugular route after failing attempt at femoral venous route.
Case Summary:
PDA device closure was attempted via femoral venous route but could not be accomplished due to difficult curves to negotiate. Following this, PDA could be closed by device from jugular venous route with ease.
Discussion:
Interrupted IVC poses challenges for PDA device closure and various alternative routes are described like internal jugular, transhepatic, or femoral venous - azygous route. Our case describes difficulties associated with femoral venous route and advantages of jugular venous route in such cases.
Conclusion:
Internal jugular access is a safe and feasible method of PDA device closure in cases of interrupted IVC even in smaller children.
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