Key result
A narrowed persistent left superior vena cava was successfully occluded using a muscular ventricular septal occluder in a hybrid procedure without complications.
Case Report (n=1)
This case report provides the first evidence of a successful hybrid method using a muscular ventricular septal occluder to occlude a narrowed persistent left superior vena cava after cardiac surgery.
May support hybrid PLSVC occlusion with VSD device in select cyanotic CHD; leaves open safety, efficacy, and applicability pending larger studies.
A 25-year old woman with complicated cyanotic heart disease and a large persistent left superior vena cava (PLSVC) with dysplasia of the innominate vein draining into the left atrium underwent cardiac surgery. Six months later, the narrowed PLSVC was successfully occluded using a muscular ventricular septal occluder (nitinol wire mesh). No complications occurred during or immediately following the catheterization. This case report is the first to describe the utilization of a hybrid method to occlude a narrowed PLSVC after cardiac surgery.
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Chen et al. (2014) conducted a case report in Complicated cyanotic heart disease and persistent left superior vena cava (n=1). Hybrid method to occlude a narrowed PLSVC using a muscular ventricular septal occluder was evaluated on Procedural success and complications. A narrowed persistent left superior vena cava was successfully occluded using a muscular ventricular septal occluder in a hybrid procedure without complications.
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