Percutaneous closure of secundum atrial septal defect (sASD) in children with interrupted inferior vena cava is challenging, especially in case of deficient aortic rim. Trans-jugular access is generally preferred in this scenario. Patients with situs inversus and sASD also carry technical difficulties for transcatheter closure because of the orientation of the atrial septum. We report a successful case of percutaneous closure of a sASD with deficient aortic rim using an occlutech figulla flex II ASD device through the left internal jugular vein in a child with situs inversus, dextrocardia, and interrupted IVC. This case was facilitated by the absence of left-sided hub of the Occlutech device to provide stable opening of the device into the left atrium, whereas the ball-connection of the delivery system allowed an angle of almost 180 degrees between the device and the atrial septum.

下腔静脉中断患儿的继发孔房间隔缺损 (sASD) 经皮闭合具有挑战性，尤其是在主动脉边缘缺损的情况下。在这种情况下，通常首选经颈静脉通路。由于房间隔的方向，内脏反转和 sASD 患者也存在经导管闭合的技术困难。我们报告了一个成功的病例，该病例使用 occlutech figulla flex II ASD 装置通过左颈内静脉对一名患有内脏反转、右位心和 IVC 中断的儿童进行了经皮闭合的主动脉边缘不足的 sASD。由于 Occlutech 装置没有左侧轮毂以使装置稳定地打开到左心房，这有助于该案例，