Device closure of patent ductus arteriosus in interrupted inferior vena cava

Abstract

IntroductionA 3-year-old child, weighing 8kg, 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 summaryPDA 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. DiscussionInterrupted 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. ConclusionInternal jugular access is a safe and feasible method of PDA device closure in cases of interrupted IVC even in smaller children.