TY  - EJOU
AU  - Anderson, Jesse Boyett 
AU  - Kazmouz, Suhaib 
AU  - McAdams, Ryan M. 
AU  - Lamers, Luke 

TI  - Delayed Umbilical Venous Access for Stenting of Complex Obstructed TAPVR in a Premature Low Birth Weight Infant: A Case Report
T2  - Structural and Congenital Heart Disease

PY  - 2025
VL  - 20
IS  - 6
SN  - 3071-1738

AB  - 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.
KW  - Total anomalous pulmonary venous return; prematurity; umbilical venous catheter; ductus venosus; case report

DO  - 10.32604/chd.2025.071937