PMID: 9527210Apr 4, 1998Paper

Surgical management of aortopulmonary window

The Annals of Thoracic Surgery
I Di Bella, D J Gladstone

Abstract

Aortopulmonary window is a rare anomaly, and a variety of surgical techniques have been described for its closure. We treated 6 infants with aortopulmonary window between 1993 and 1995. Three had associated type A interrupted aortic arch, and another had a muscular ventricular septal defect. The diagnosis was made by echocardiography, confirmed by cardiac catheterization in 4 infants. In 1 very sick neonate with interrupted arch, diagnosis of the window was considerably delayed. In 4 patients, we closed the window by using a flap of pulmonary artery, which was reconstructed without using a patch. In 2 neonates with interrupted arch we anastomosed the mobilized descending aorta directly to the aortic defect of the aortopulmonary window, closing the pulmonary artery with a pericardial patch. There were no hospital deaths, and all patients are in New York Heart Association functional class I at a mean follow-up of 30 months. Echocardiography shows no significant distortion of the great vessels. The techniques described achieve excellent results using only autologous tissues with the potential for normal growth.

References

Nov 1, 1992·The Annals of Thoracic Surgery·O MatsukiY Kawashima
Feb 1, 1994·The Annals of Thoracic Surgery·B J Messmer
Jun 1, 1952·Circulation·R E GROSS

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Citations

Aug 26, 2006·Pediatric Cardiology·C JansenM G Hazekamp
Sep 2, 2000·The Annals of Thoracic Surgery·J A van SonF W Mohr
Feb 5, 2004·The Annals of Thoracic Surgery·Eldad ErezEinat Birk
Sep 27, 2006·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Chun-An ChenMei-Hwan Wu
May 9, 2006·The Journal of Thoracic and Cardiovascular Surgery·Igor E KonstantinovUNKNOWN Congenital Heart Surgeons Society
Oct 13, 2015·Case Reports in Cardiology·Murat KoseKıvanc Yalin
Feb 1, 2005·Cardiology in the Young·Rajesh BagthariaBrian W McCrindle
Feb 1, 2005·Cardiology in the Young·Murat MertCenk Eray Yildiz

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