Stenting of the arterial duct to maintain postnatal communication between the pulmonary and systemic arterial circulations in infants with complex congenital heart disease is an acceptable alternative to a surgically created systemic to pulmonary artery shunt. The procedure, however, can be demanding given the variable anatomy of the patent ductus arteriosus. We report a series of cases of ductal stenting via a range of varying approaches in neonates with complex congenital heart disease, and display the variety of situations in which these approaches may be used.
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