Coarctation Stenting in a Preterm Neonate With Unrepaired Transposition Using ECMO Venous Cannula Access
Document Type
Article
Publication Date
5-21-2026
Publication Title
JACC: Case Reports
Abstract
BACKGROUND: Cardiac catheterization is essential for diagnosing and treating critically ill infants with congenital heart disease who require venoarterial extracorporeal membrane oxygenation (VA-ECMO). In neonates, cervical cannulation is often preferred because of small femoral vessels. CASE SUMMARY: A 3-week-old premature male infant with dextro-transposition of the great arteries and coarctation of the aorta (CoA) developed cardiogenic shock and acute kidney injury after atrial septostomy and prostaglandin discontinuation, requiring VA-ECMO. A benchtop model identified the 8-F venous cannula as optimal access. A 7-F sheath was inserted via right internal jugular ECMO tubing, allowing advancement of a coaxial system into the transposed aorta and deployment of a stent across the coarctation. The patient tolerated the procedure and was decannulated. DISCUSSION: Cardiac catheterization during ECMO can be performed safely. Although prior reports used arterial cannulas, venous cannulation provided effective access for CoA stenting in this case. TAKE-HOME MESSAGE: The VA-ECMO circuit provides a feasible route for transcatheter intervention when conventional access is limited.
First Page
1
Last Page
5
PubMed ID
42171556
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Recommended Citation
Jocson, Cyndee; Black, Brandon; Anvari, Farshad; and Mejia, Ernesto, "Coarctation Stenting in a Preterm Neonate With Unrepaired Transposition Using ECMO Venous Cannula Access" (2026). School of Medicine Faculty Publications. 4844.
https://digitalscholar.lsuhsc.edu/som_facpubs/4844
10.1016/j.jaccas.2026.108474