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Stenting of vertical vein in an infant with obstructed supracardiac total anomalous pulmonary venous drainage


Pediatric and Congenital Heart Center (PCHC), National Heart Institute, Kuala Lumpur, Malaysia

Correspondence Address:
W K Lim
Pediatric and Congenital Heart Center, Institut Jantung Negara, 145, Jalan Tun Razak, Kuala Lumpur - 50400
Malaysia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.173549

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Year : 2016  |  Volume : 9  |  Issue : 2  |  Page : 183-185

 

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A 1.7 kg infant with obstructed supracardiac total anomalous pulmonary venous drainage (TAPVD) presented with severe pulmonary hypertension secondary to vertical vein obstruction. The child, in addition, had a large omphalocele that was being managed conservatively. The combination of low weight, unoperated omphalocele, and severe pulmonary hypertension made corrective cardiac surgery very high-risk. Therefore, transcatheter stenting of the stenotic vertical vein, as a bridge to corrective surgery was carried out. The procedure was carried out through the right internal jugular vein (RIJ). The stenotic segment of the vertical vein was stented using a coronary stent. After procedure, the child was discharged well to the referred hospital for weight gain and spontaneous epithelialization of the omphalocele. Stenting of the vertical vein through the internal jugular vein can be considered in very small neonates as a bridge to repair obstructed supracardiac total anomalous venous drainage.






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Pediatric and Congenital Heart Center (PCHC), National Heart Institute, Kuala Lumpur, Malaysia

Correspondence Address:
W K Lim
Pediatric and Congenital Heart Center, Institut Jantung Negara, 145, Jalan Tun Razak, Kuala Lumpur - 50400
Malaysia
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.173549

Rights and Permissions

A 1.7 kg infant with obstructed supracardiac total anomalous pulmonary venous drainage (TAPVD) presented with severe pulmonary hypertension secondary to vertical vein obstruction. The child, in addition, had a large omphalocele that was being managed conservatively. The combination of low weight, unoperated omphalocele, and severe pulmonary hypertension made corrective cardiac surgery very high-risk. Therefore, transcatheter stenting of the stenotic vertical vein, as a bridge to corrective surgery was carried out. The procedure was carried out through the right internal jugular vein (RIJ). The stenotic segment of the vertical vein was stented using a coronary stent. After procedure, the child was discharged well to the referred hospital for weight gain and spontaneous epithelialization of the omphalocele. Stenting of the vertical vein through the internal jugular vein can be considered in very small neonates as a bridge to repair obstructed supracardiac total anomalous venous drainage.






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