@Article{chd.2025.071937,
AUTHOR = {Jesse Boyett Anderson, Suhaib Kazmouz, Ryan M. McAdams, Luke Lamers},
TITLE = {Delayed Umbilical Venous Access for Stenting of Complex Obstructed TAPVR in a Premature Low Birth Weight Infant: A Case Report},
JOURNAL = {Structural and Congenital Heart Disease},
VOLUME = {20},
YEAR = {2025},
NUMBER = {6},
PAGES = {729--735},
URL = {http://www.techscience.com/schd/v20n6/66120},
ISSN = {3071-1738},
ABSTRACT = {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.},
DOI = {10.32604/chd.2025.071937}
}