Diagnosis, Treatment and Outcomes of Patients with Aortopulmonary Window

Demir, İbrahim; Erdem, Abdullah; Sarıtaş, Türkay; Demir, Fadli; Erol, Nurdan; Yücel, İlker Kemal; Aydemir, Numan Ali; Çelebi, Ahmet

doi:10.5152/balkanmedj.2013.6995

Cited by 10 publications

(8 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our series, the mean preoperative PVR and the mean SVR were 3.8 U/m 2 and 18.1 U/m 2 , respectively. Additional cardiac anomalies existed in 65% of patients in the study by Naimo et al, [14] 63% of patients in the study by Backer and Mavroudis [6] and 61% in the study by Demir et al [2] Although an additional cardiac anomaly accompanied APW in 60% of our patients, 23% of these were congenital complex cardiac anomalies (Table 1).…”

Section: Discussionmentioning

confidence: 55%

“…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%

See 1 more Smart Citation

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

Yakut

Tokel

Özkan

et al. 2018

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 55%

mentioning

confidence: 99%

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

Yakut

Tokel

Özkan

et al. 2018

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

show abstract

“…[4] While transcatheter closure of APW does not appear frequently in the literature due to the relative rarity of defects with good margins and concomitant presence of associated anomalies, successful transcatheter closure using different devices has occasionally been described in case reports. [4,5] Amplatzer atrial septal or duct occluders (AGA Medical Corp., Golden Valley, MN, USA) may provide good alternatives in adults *Supplementary video file associated with this article can be found in the online version of the journal.…”

Section: Discussionmentioning

confidence: 99%

Aortopulmonary window in adulthood: Surviving at 22 years without intervention or pulmonary vascular disease

Yüksel

Köklü

Arslan

et al. 2016

Arch Turk Soc Cardiol

View full text Add to dashboard Cite

show abstract

“…Approximately 90% of APW are of the proximal category [6]. The majority of APW cases present with congestive heart failure and pulmonary hypertension due to massive pulmonary blood flow [2,7]. …”

Section: Discussionmentioning

confidence: 99%

“…APW is a rare lesion and is usually accompanied by other cardiovascular anomalies such as atrial septal defect (ASD), ventricular septal defect (VSD), patent ductus arteriosus (PDA), and an interrupted aortic arch [2]. Due to the left to right blood shunting, APW may lead to pulmonary hypertension and congestive heart failure [3].…”

Section: Introductionmentioning

confidence: 99%

Transcatheter Treatment of Aortopulmonary Window with a Symmetrical Membranous Ventricular Septal Occluder

Zheng²,

Pan³

et al. 2017

Cardiology

View full text Add to dashboard Cite

Aortopulmonary window (APW), the presence of a communication between aorta and pulmonary artery, is a rare congenital heart disease, and surgical intervention is the standard for closure. Recently, several cases have been treated with transcatheter device occluders. Here, we report an APW patient treated successfully using a transcatheter closure with a symmetrical membranous ventricular septal occluder. We are the first to report on a case treated with this type of occluder for APW.

show abstract

Diagnosis, Treatment and Outcomes of Patients with Aortopulmonary Window

Cited by 10 publications

References 20 publications

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

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

Aortopulmonary window in adulthood: Surviving at 22 years without intervention or pulmonary vascular disease

Transcatheter Treatment of Aortopulmonary Window with a Symmetrical Membranous Ventricular Septal Occluder

Contact Info

Product

Resources

About