• Tex Heart Inst J · Jan 2010

    Case Reports

    Transhepatic approach to closure of patent foramen ovale: report of 2 cases in adults.

    • Jamal Hussain, Robert Strumpf, Aslan Ghandforoush, Ayman Jamal, and Edward Diethrich.
    • Cardiology Department, Arizona Heart Hospital & Institute, Phoenix, Arizona 85016, USA.
    • Tex Heart Inst J. 2010 Jan 1;37(5):553-6.

    AbstractPatent foramen ovale is increasingly diagnosed in patients who are undergoing clinical study for cryptogenic stroke or migraine. In addition, patent foramen ovale is often suspected as a cause of paradoxical embolism in patients who present with arterial thromboembolism. The femoral venous approach to closure has been the mainstay. When the femoral approach is not feasible, septal occluder devices have been deployed via a transjugular approach.Herein, we describe 2 cases of patent foramen ovale in which the transhepatic approach was used for closure. To our knowledge, this is the 1st report of a transhepatic approach to patent foramen ovale closure in an adult patient. Moreover, no previous case of patent foramen ovale closure has been reported in a patient with interrupted inferior vena cava.

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