Stent placement in an occluded left superior vena cava to right atrial baffle aided by transhepatic access in a patient with heterotaxy

We describe placement of a covered stent in an occluded left superior vena cava to right atrial baffle in a 9-year-old patient with heterotaxy and an associated interrupted inferior vena, which required a transhepatic approach. Coronary angiography helped direct the Brockenbrough needle across the obstruction. Eighteen months post intervention, transthoracic echocardiography confirmed stent...