title: Transhepatic portal vein access for balloon dilation of right upper pulmonary vein stenosis following infradiaphragmatic total anomalous pulmonary venous drainage repair.
abstract: Transhepatic cardiac catheterization is now a well-established alternative when conventional venous routes for cardiac access have failed. Some operators prefer this route even routinely, due to the direct access that it offers to the right atrium and atrial septum. We report the case of a newborn baby previously operated on for infradiaphragmatic total anomalous pulmonary venous drainage who represented with right sided pulmonary vein stenosis. Transhepatic portal vein access, first reported here, gave direct access to the right upper pulmonary vein, through the patent descending vein, after the conventional transfemoral venous and retrograde arterial routes had failed.
authors.affiliation: Department of Congenital Heart Disease, Evelina Children's Hospital, Guy's and St Thomas' Hospital, London, United Kingdom.
authors.forename: Aphrodite
authors.initials: A
authors.lastname: Tzifa
authors.forename: Irfan
authors.initials: I
authors.lastname: Ahmed
authors.forename: Eric
authors.initials: E
authors.lastname: Rosenthal
mesh_terms: D006328:Cardiac Catheterization / Q000379:methods*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002404:Catheterization; D003251:Constriction, Pathologic; D006330:Heart Defects, Congenital / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D018810:Magnetic Resonance Angiography; D011169:Portal Vein / Q000000981:diagnostic imaging; D011652:Pulmonary Circulation; D011667:Pulmonary Veins / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011668:Pulmonary Veno-Occlusive Disease / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D015641:Radiography, Interventional; D012008:Recurrence; D016896:Treatment Outcome