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A 6-month old boy with multiple congenital anomalies, left-sided congenital diaphragmatic hernia status post repair, secundum atrial septal defect and pulmonary artery hypertension was referred to the paediatric cardiac catheterisation laboratory for diagnostic right heart catheterisation. Secondary to previous indwelling lines, the patient had bilateral femoral venous occlusion. Tracheostomy made access to the subclavian and jugular veins difficult. The decision was made to perform the procedure through access in the …
Competing interests None.
Provenance and peer review Not commissioned; not externally peer reviewed.