Echocardiography‐Assisted Stenting of the Ductus Venosus in Infracardiac TAPVC: Report of a New Technique and Review of the Literature

Neonates with infracardiac total anomalous pulmonary venous connection (TAPVC) frequently require urgent treatment. If surgical repair is contraindicated due to extreme prematurity, interventional stenting of the ductus venosus (DV) has been introduced successfully to postpone surgery. We report a new technique of transjugular stenting in an 890-g premature infant who presented with infracardiac TAPVC and functional closure of the DV. The DV was successfully crossed with a wire and stented under echocardiographic control. The case underlines the importance of echocardiography in diagnosing and managing DV obstruction. Different interventional strategies for DV-stenting in these complex patients are briefly reviewed.