Stent ductal implant by axillary via in a newborn with ductal dependent pulmonary blood flow

INTRODUCTIONDuctus arteriosus stenting is a palliative alternative for neonates with ductal-dependent pulmonary flow. OBJECTIVETo present an alternative of arterial access for percutaneous coronary intervention in neonates. CLINICAL CASEA term neonate with low weight diagnosed with pulmonary atresia with intact ventricular septum and severe hypoplasia of the tricuspid valve with dependent coronary circu lation. Due to the surgical risk and femoral artery damage and the anatomy of the ductus arteriosus, a left axillary arterial puncture was decided where a 3.5-millimeter coronary stent was successfully placed. The patient developed an axillary spasm that resolved spontaneously. CONCLUSIONAlternati ve arterial access other than the femoral artery route is an option for neonates with high surgical risk and low birth weight.