Aortopulmonary window: a single institution surgical experience

Naik, Abhijeet V.; Salvi, Prasanna; Mhatre, Amit; Soomar, Sanah Merchant; Joshi, Sanmukh R

doi:10.1177/0218492313481222

Cited by 5 publications

(7 citation statements)

References 7 publications

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“…Additionally, other congenital heart defects accompanying APW were also repaired. A mean age at the time of surgery of 40 days was reported by Naimo et al, [14] 52 days by Chen et al, [7] 3.6 months by Backer et al, [6] and 4.3 months by Naik et al [3] In our series, the mean age at the time of surgery was 8.2±14.4 months (range, 7 days to 60 months). The major reason of the older age at the time of surgery in our series was the delayed diagnosis of our patients.…”

Section: Discussionsupporting

confidence: 61%

“…Early surgery or transcatheter treatment should be performed before PVD develops in patients with APW. [1][2][3][4] Surgical repair is commonly performed for the treatment of APW with favorable outcomes. [1,[15][16][17] Complications of surgical repair such as aortic or pulmonary artery stenosis, residual APW, and aneurysmal aortic dilatation are possible, albeit rare.…”

Section: Discussionmentioning

confidence: 99%

“…Aortopulmonary window (APW) is a rare (0.1 to 0.2%) cardiac anomaly which occurs alone or more commonly in combination with other complex congenital heart disorders. [1][2][3][4][5][6][7] It is characterized by an abnormal communication between the ascending aorta and pulmonary artery immediately above the two semilunar valves. It develops as a result of a defect of aortopulmonary septation in embryological life.…”

mentioning

confidence: 99%

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Diagnosis and surgical treatment of aortopulmonary window: Our single-center experience

Yakut

Tokel

Özkan

et al. 2018

Turk Gogus Kalp Dama

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Bu çalışmada aortopulmoner pencereye ilişkin tek merkezli deneyimimiz sunuldu ve klinik bulgular, belirtiler, cerrahi düzeltme teknikleri ve uzun dönem sonuçlar incelendi. Ça lış ma pla nı: Hastanemizde Mayıs 1998-Haziran 2016 tarihleri arasında aortopulmoner pencere tanısı ile izlenen toplam 30 hastanın tıbbi kayıtları retrospektif olarak incelendi. Hastaların klinik özellikleri, ekokardiyografik ve anjiyografik bulguları, cerrahi girişim sonuçları ve takip sırasında tıbbi sorunlar değerlendirildi. Bul gu lar: En sık görülen bulgu ve belirtiler üfürüm, dispne, taşipne, gelişim geriliği ve konjestif kalp yetmezliği bulguları idi. Cerrahi sırasındaki ortalama yaş 8.2±14.4 ay (dağılım 7 gün-60 ay) idi. On sekiz (%60) hastaya ek kardiyak anomali eşlik etmekteydi. On bir hastada basit doğuştan kalp hastalığı, yedi hastada kompleks doğuştan kalp hastalığı vardı. Dört hasta Eisenmenger sendromu (n=3) ve kompleks doğumsal kalp hastalığı (n=1) nedeniyle ameliyat edilemedi. Cerrahi sonrası erken veya geç dönemde ölüm gözlenmedi. Ortalama takip süresi 6.4±4.8 yıl (dağılım 5 ay-16 yıl) idi. Aortopulmoner pencere onarımının yanı sıra, dokuz hastada (%34.6) cerrahi girişimi etkileyen ek kardiyak anomali düzeltildi. Üç yıl sonra bir hasta rezidüel aortopulmoner pencere ve bir diğer hasta pulmoner darlık (valvüler, supravalvüler) nedeniyle yeniden ameliyat edildi. Bu hastalardan birine iki yıl sonra pulmoner balon valvüloplasti uygulandı. Takip sırasında tekrar ameliyat oranı %7.7 (n=2) idi. So nuç: Aortopulmoner pencere ekokardiyografik çalışma sırasında atlanabilen ve düşük cerrahi risk ile onarımı olanaklı olan nadir bir kardiyak anomalidir. Bu nedenle, pulmoner vasküler hastalık gelişmeden önce tanı konması ve tedavi edilmesi önemlidir. Anah tar söz cük ler: Aortopulmoner pencere; doğuştan kalp hastalığı; pulmoner vasküler hastalık; cerrahi tedavi.

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Section: Discussionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Diagnosis and surgical treatment of aortopulmonary window: Our single-center experience

Yakut

Tokel

Özkan

et al. 2018

Turk Gogus Kalp Dama

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“…If it remains untreated, infants die of intractable heart failure or rapidly develop pulmonary vascular obstructive disease due to left‐to‐right flow 1. Nowadays, the “sandwich” repair technique described by Johansson et al,26 entailing a transwindow approach and defect closure, is the most widely used 1,4,27. With this approach, the origin of the coronary arteries can be easily assessed and the patch placed in such a way that an abnormal coronary ostial origin is incorporated into the aorta; in addition, there is less potential for compromise of either of the great vessels or injury of the semilunar valves 1.…”

Section: Discussionmentioning

confidence: 99%

“…1 Nowadays, the "sandwich" repair technique described by Johansson et al, 26 entailing a transwindow approach and defect closure, is the most widely used. 1,4,27 With this approach, the origin of the coronary arteries can be easily assessed and the patch placed in such a way that an abnormal coronary ostial origin is incorporated into the aorta; in addition, there is less potential for compromise of either of the great vessels or injury of the semilunar valves. 1 Another option is transcatheter closure of small and isolated aortopulmonary windows with a Rashkind double umbrella 28 or an Amplatzer septal occluder.…”

Section: Treatmentmentioning

confidence: 99%

Prenatal Diagnosis of an Aortopulmonary Window With an Interrupted Aortic Arch

Garcı́a

Álvarez

Bravo

et al. 2016

J of Ultrasound Medicine

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A prenatal aortopulmonary window with an interrupted aortic arch was detected in a 22-week-old fetus. The 3-vessel and trachea view showed a communication between the ascending aorta and the pulmonary artery. Early postnatal surgery was successful. A PubMed-based search identified all cases of prenatal aortopulmonary windows between 2002 and 2015. Nine articles were identified. The average gestational age at diagnosis was 28 weeks (range, 22-33 weeks). The most frequent aortopulmonary window was type I (40%). All cases were associated with congenital heart defects, mainly an interrupted aortic arch (50%). No chromosomal or extracardiac abnormalities were seen. Prenatal echocardiography is useful for early diagnosis of an aortopulmonary window. The prognosis depends on the time of surgery and the nature of the associated anomalies.

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Prenatal Diagnosis of Aortopulmonary Window by 2‐Dimensional Echocardiography: Summary of 8 Cases

Geng

et al. 2018

J of Ultrasound Medicine

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Aortopulmonary window (APW) is a rare congenital heart anomaly. A total of 8 cases with APW confirmed by echocardiography and surgery were retrospectively reviewed and the echocardiographic features analyzed. Among the 8 APW cases, 5 were type II and 3 were type III, the latter of which includes 2 cases complicated with Berry syndrome. Prenatal echocardiography can provide accurate information for the diagnosis of fetal APW. The prognosis depends on the timing of surgery and the nature of the associated cardiac anomalies.

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Aortopulmonary window: a single institution surgical experience

Cited by 5 publications

References 7 publications

Diagnosis and surgical treatment of aortopulmonary window: Our single-center experience

Diagnosis and surgical treatment of aortopulmonary window: Our single-center experience

Prenatal Diagnosis of an Aortopulmonary Window With an Interrupted Aortic Arch

Prenatal Diagnosis of Aortopulmonary Window by 2‐Dimensional Echocardiography: Summary of 8 Cases

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