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Successful Percutaneous Closure of Atrial Septal Defect via Transjugular Approach with the Cocoon Septal Occluder

Maria Drakopoulou1, George Oikonomou1, Stergios Soulaidopoulos1, Basil Thanopoulos2, Konstantina Aggeli1, Dimitrios Tousoulis1, Konstantinos Toutouzas1,*
1 First Department of Cardiology, Athens University, Hippokration Hospital, Athens, Greece
2 Department of Pediatric Cardiology, “Agios” Lukas Clinic, Thessaloniki, Greece
* Corresponding Author: Konstantinos Toutouzas. Email:

Congenital Heart Disease 2020, 15(3), 147-151.

Received 03 May 2020; Accepted 28 June 2020; Issue published 15 July 2020


The percutaneous closure of ostium secundum atrial septal defects (ASD) is a well-established procedure. Currently available devices and delivery systems are designed to be used via the femoral venous route. However, an alternative approach needs to be considered in cases of congenital or acquired caval obstruction. We describe a successful transjugular closure of a moderate sized secundum ASD with the Cocoon Septal Occluder in a 37-year-old symptomatic woman with inferior vena cava (IVC) thrombosis, using a novel deployment technique to overcome difficulties, namely maintaining stable sheath position in the left atrium. Percutaneous closure of secundum ASDs via the transjugular approach is safe, feasible and effective and can be a reasonable alternative to surgical closure in patients with failed femoral venous access and not anatomically complex atrial septal defects.


Atrial septal defect; closure devices; interventional cardiology

Cite This Article

Drakopoulou, M., Oikonomou, G., Soulaidopoulos, S., Thanopoulos, B., Aggeli, K. et al. (2020). Successful Percutaneous Closure of Atrial Septal Defect via Transjugular Approach with the Cocoon Septal Occluder. Congenital Heart Disease, 15(3), 147–151.

This work is licensed under a Creative Commons Attribution 4.0 International License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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