Percutaneous atrial septal defect closure in infant weighing <10 kg and having a bilateral superior vena cava: a case report
Percutaneous closure has become a preferred treatment for secundum atrial septal defect (ASD). However, this approach remains challenging in treating small infant weighing <10 kg because of procedure-related complications. The closure of ASD in other congenital anomalies, such as a bilateral superior vena cava (SVC), should be cautiously conducted. A 15-month-old boy with a body weight of 8 kg was diagnosed with secundum ASD (911 mm in diameter), residual pulmonary stenosis, and bilateral SVC. Transcatheter closure of ASD was successfully performed by using a 12 mm CeraFlex occluder device (Lifetech Scientific Corporation). Post-procedural examination showed good results without any impingement to the adjacent structure. Therefore,
the transcatheter closure of ASD in infant weighing <10 kg and having bilateral SVC is technically feasible and safe.
Bishnoi RN, Everett AD, Ringel RE, Owada CY, Holzer RJ, Chisolm JL, et al. Device closure of secundum atrial septal defects in infants weighing less than 8 kg. Pediatr Cardiol. 2014;35(7):1124-31. https://doi.org/10.1007/s00246-014-0905-7
Knop M, Szkutnik M, Fiszer R, Bialkowska B, Glowacki J, Bialkowski J. Transcatheter closure of atrial septal defect in children up to 10 kg of body weight with Amplatzer device. Cardiol J. 2014;21(3):279-83. https://doi.org/10.5603/CJ.a2013.0120
Scheidmann R, Paul T, Sigler M. Transcatheter atrial septal defect closure in an infant (body weight 6.4 kg) using the GORE CARDIOFORM septal occluder (GCSO). Mol Cell Pediatr. 2017;4(1):9. https://doi.org/10.1186/s40348-017-0077-7
Butera G, De Rosa G, Chessa M, Rosti L, Negura DG, Luciane P, et al. Transcatheter closure of atrial septal defect in young children: results and follow-up. J Am Coll Cardiol. 2003;42(2):241-5. https://doi.org/10.1016/S0735-1097(03)00589-8
Kim NK, Park SJ, Choi JY. Transcatheter closure of atrial septal defect: does age matter? Korean Circ J. 2011;41(11):633-8. https://doi.org/10.4070/kcj.2011.41.11.633
Cardenas L, Panzer J, Boshoff D, Malekzadeh-Milani S, Ovaert C. Transcatheter closure of secundum atrial defect in small children. Catheter Cardiovasc Interv. 2007;69(3):447-52. https://doi.org/10.1002/ccd.21030
Diab KA, Cao QL, Bacha EA, Hijazi ZM. Device closure of atrial septal defects with the Amplatzer septal occlude safety and outcome in infants. J Thorac Cardiovasc Surg. 2007;134(4):960-6. https://doi.org/10.1016/j.jtcvs.2007.06.018
Ribeiro MS, Pereira FL, do Nascimento WT, da Costa RN, Kreuzig DL, Pedra SR, et al. Feasibility, safety, and efficacy of percutaneous atrial septal defect closure in infants. Rev Bras Cardiol Invasiva. 2013;21(2):165-75. https://doi.org/10.1016/S2214-1235(15)30126-5
Bartakian S, Fagan TE, Schaffer MS, Darst JR. Device closure for secundum atrial septal defects in children <15 kg: complication rates and indications for referral. JACC Cardiovasc Interv. 2012;5(11):1178-84. https://doi.org/10.1016/j.jcin.2012.07.009
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