Successful palliation of obstructed infradiaphragmatic total anomalous pulmonary venous return in a premature infant utilising stent placement in the ductus venosus followed by vertical vein stenting via transhepatic portal venous approach.

Infradiaphragmatic total anomalous pulmonary venous return is a rare CHD often requiring emergent cardiac surgery. Options are limited for premature infants. We describe successful transcatheter palliation of a premature infant utilising stenting of the ductus venosus followed by transhepatic portal venous access for stent placement in an obstructed vertical vein with hepatic tract closure using the VASCADE Vascular Closure System (Cardiva Medical Inc., Santa Barbara, CA).