Transhepatic, transseptal, anterograde balloon angioplasty for recurrent neonatal coarctation

Transhepatic cardiac catheterization is useful in patients in whom more conventional routes of access are no longer patent or associated with undesirable risks. We describe our success in performing transhepatic, transeptal, anterograde balloon angioplasty without complication in a 1.6 kg neonate with recurrent aortic coarctation and femoral venous occlusion. This report illustrates the utility of a transhepatic approach, even in very small patients.