Delayed Umbilical Venous Access for Stenting of Complex Obstructed TAPVR in a Premature Low BirthWeight Infant:A Case ReportOA
Obstructed infradiaphragmatic total anomalous pulmonary venous return(TAPVR)in premature infants presents significant management challenges due to the high surgical risk in low-birth-weight,preterm neonates.We present strategies for managing this condition in a 10-day old 1.3 kg ex-32-week premature infant including late umbilical venous access,use of wire-snare rail for stable stent deployment,and monitoring for progressive multi-level obstruction.Long-term follow-up demonstrated spontaneous stent fracture and occlusion.This approach successfully bridged to definitive repair with excellent outcomes.
Jesse Boyett Anderson;Suhaib Kazmouz;Ryan M.McAdams;Luke Lamers
Division of Pediatric Cardiology,Department of Pediatrics,University of Wisconsin School of Medicine and Public Health,Madison,WI 53792,USADivision of Pediatric Cardiology,Department of Pediatrics,University of Wisconsin School of Medicine and Public Health,Madison,WI 53792,USADivision of Neonatology,Department of Pediatrics,University of Wisconsin School of Medicine and Public Health,Madison,WI 53792,USADivision of Pediatric Cardiology,Department of Pediatrics,University of Wisconsin School of Medicine and Public Health,Madison,WI 53792,USA
医药卫生
Total anomalous pulmonary venous returnprematurityumbilical venous catheterductus venosuscase report
《Congenital Heart Disease》 2025 (6)
P.729-735,7
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