AN EXPERIENCE OF CARDIAC CATHETERIZATION PROCEDURES IN PATIENTS WITH INTERRUPTED INFERIOR VENA CAVA

Abstract

Objective: Interrupted inferior vena cava (IVC) is a well-recognized but a rare congenital anomaly due to absence of hepatic portion of the IVC and can therefore pose problems while undertaking cardiac catheterization in these particular patients. We are sharing our experience of cardiac catheterization in patients with interrupted IVC.

Study Design: Retrospective descriptive study.

Place and Duration of Study: Armed Forces Institute of Cardiology/National institute of heart diseases (AFIC/ NIHD) Rawalpindi, from Jan 2017 to Dec 2018.

Methodology: This retrospective descriptive study was done at the Paediatric cardiology department of the Armed Forces Institute of Cardiology/National institute of heart diseases (AFIC/NIHD) Rawalpindi and comprised of 34 consecutive cases with interrupted IVC, who underwent cardiac catheterization procedure from January 2017 to December 2018.

Results: Total of 34 consecutive patients with interrupted IVC underwent cardiac catheterization procedure (29 diagnostic procedures and 5 interventional procedures) with mean age of 4.3 ± 4.5 years, including 19 males & 15 females. The mean procedural time and fluoroscopy time were 55 & 17 minutes respectively and no major complications were encountered in study population.

Conclusion: Cardiac catheterizations in patients with interrupted IVC can be challenging especially in device closure of atrial septal defects and patent ductusarteriosus.