Abstract
Trans catheter closure of patent ductus arteriosus (PDA) using various occluders and coils via femoral vein is a well established therapeutic option.However, in patients with congenital variations in circulation alternative approaches are warranted.We present a case of a child with PDA who during cardiac catheterization was found to have a left sided IVC joining the RA at a postero-superior location, with an anomalous azygous vein also draining postero-superiorly at an acute angle.Due to the complicated anatomy device closure by conventional methods wasn't possible, successful deployment was achieved via the right subclavian vein.
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