Successful percutaneous closure of a secundum atrial septal defect through femoral approach in a patient with interrupted inferior vena cava.

Percutaneous closure of secundum atrial septal defect (ASD II) is considered the treatment of choice in the majority of cases. Interrupted inferior vena cava with azygos continuation can make delivery of the occluder difficult or not possible. Transjugular, transhepatic approach or surgery can be the alternative.