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Palliative vertical vein stenting in a critical neonate with obstructed infradiaphragmatic total anomalous pulmonary venous connection

Part of: Interventional Cardiology

Published online by Cambridge University Press:  02 February 2022

Kanupriya Chaturvedi Open the ORCID record for Kanupriya Chaturvedi [Opens in a new window] ,
Apurva Deshmukh ,
Prashant Thakur ,
Amit Lal  and
Atul Prabhu
Kanupriya Chaturvedi
Affiliation:
Department of Pediatric Cardiology, Sri Sathya Sai Sanjeevani Hospital for Child Heart Care, Naya Raipur, India
Apurva Deshmukh
Affiliation:
Department of Pediatric Cardiology, Sri Sathya Sai Sanjeevani Hospital for Child Heart Care, Naya Raipur, India
Prashant Thakur
Affiliation:
Department of Pediatric Cardiology, Sri Sathya Sai Sanjeevani Hospital for Child Heart Care, Naya Raipur, India
Amit Lal
Affiliation:
Department of Anesthesia, Fortis Hospital, Bengaluru, India
Atul Prabhu*
Affiliation:
Department of Pediatric Cardiology, Sri Sathya Sai Sanjeevani Hospital for Child Heart Care, Naya Raipur, India
*
Author for correspondence: A. Prabhu, MD, FNB, Department of Pediatric Cardiology, Sri Sathya Sai Sanjeevani Hospital for Child Heart Care, Naya Raipur, Chhattisgarh 492101, India. Tel: +91-7977129346; Fax: +91-7712970325. E-mail: dratul.prabhu@srisathyasaisanjeevani.com
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Abstract

Neonatal total anomalous pulmonary venous connection has an incidence of about ∼1–2%.1 The clinical presentation of total anomalous pulmonary venous connection in the neonatal period is dependent on the presence or absence of pulmonary venous obstruction, which is usual when the veins connect to the umbilicovitelline system, as in infradiaphragmatic total anomalous pulmonary venous connection. Obstructed total anomalous pulmonary venous connection presents with severe respiratory distress, metabolic acidosis, and cyanosis and requires urgent surgical intervention. However, critically ill neonates with obstructed total anomalous pulmonary venous connection have a higher surgical morbidity and mortality, and pre-operative stabilisation can improve outcomes in them. We present a case of a septic term neonate with obstructed infradiaphragmatic total anomalous pulmonary venous connection who underwent emergency palliative stent placement for immediate relief of pulmonary venous obstruction.

Keywords

Infradiaphragmatic TAPVCvertical vein stenting
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 9 , September 2022 , pp. 1536 - 1537
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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References

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