Urgent stenting via internal jugular vein for stabilization in critical neonates with total anomalous pulmonary venous connection and severe pulmonary venous obstruction

Abstract

Reducing obstruction in the vertical vein is significant for stabilizing the condition in neonates with total anomalous pulmonary venous connection (TAPVC). Stent implantation into the vertical vein is an alternative treatment for rescue in critical patients with TAPVC and severe pulmonary congestion. We performed a stent implantation into the supra-cardiac vertical vein for rescue and stabilization of a critical newborn with TAPVC. The internal jugular vein was selected for sheath insertion under echo guidance in an urgent procedure, which took 11min from venous puncture to stent implantation. The internal jugular approach is optimal for stent implantation in patients with supra-cardiac TAPVC in a critical condition.<Learning objective: Learning alternative methods are valuable for rescue and treatment against critical conditions with congenital heart disease in neonates. This report can provide useful and optimal technique for rescuing a critical patient with total anomalous venous connection with severe pulmonary venous obstruction.>