Palliative Stenting of the Venous Duct in a Premature Neonate with Obstructed Infradiaphragmatic Total Anomalous Pulmonary Venous Connection
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In infracardiac, infradiaphragmatic total anomalous pulmonary venous connection, all four pulmonary veins connect to a descending vertical vein that usually drains to the portal vein or one of its tributaries. Obstruction is common, and definitive treatment is surgical repair. We present a case of late-diagnosed infradiaphragmatic total anomalous pulmonary venous connection in a premature neonate who was too high risk for surgery and underwent palliative stenting of the venous duct. We demonstrate the feasibility of a transhepatic approach when umbilical access is no longer available.
CHD, pulmonary hypertension, transhepatic access, ductus venosus, total anomalous pulmonary venous return, cardiac catheterization
Cardiology in the Young
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George RS, Lozier JS, and Bocks ML (2022). Palliative stenting of the venous duct in a premature neonate with obstructed infradiaphragmatic total anomalous pulmonary venous connection. Cardiology in the Young, page 1 of 4. doi: 10.1017/S1047951122002219