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Challenges for bilateral pulmonary artery stenting due to occluded femoral veins

Published online by Cambridge University Press:  11 October 2017

Sreeja Pavithran
Affiliation:
Department of Pediatric Cardiology, Institute of Cardio Vascular Diseases, Madras Medical Mission, Chennai, Tamil Nadu, India
Ramyashri Chandrasekaran
Affiliation:
Department of Pediatric Cardiology, Institute of Cardio Vascular Diseases, Madras Medical Mission, Chennai, Tamil Nadu, India
Kothandam Sivakumar*
Affiliation:
Department of Pediatric Cardiology, Institute of Cardio Vascular Diseases, Madras Medical Mission, Chennai, Tamil Nadu, India
*
Correspondence to: Dr K. Sivakumar, MD, DM, Department of Pediatric Cardiology, Institute of Cardio Vascular Diseases, Madras Medical Mission, 4 A Dr J J Nagar, Mogappair, Chennai, Tamil Nadu, 600037, India. Tel: +91 944 444 9966; Fax: +91 442 656 5859; E-mail: drkumarsiva@hotmail.com

Abstract

When the inferior caval vein is occluded or abnormal, jugular and hepatic veins provide alternative routes for interventions. For pulmonary artery stenting, transhepatic access may give a relatively straighter route than that from the jugular veins. We describe the challenges and strategies during transhepatic bilateral pulmonary artery stenting after arterial switch operation complicated by occluded inferior caval vein and congested hepatic veins.

Type
Brief Report
Copyright
© Cambridge University Press 2017 

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References

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