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...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.展开更多
文摘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.
