Janela aortopulmonar: impacto das lesões associadas no resultado cirúrgico

Abstract

Results: Of nine patients diagnosed as having APW, six had associated lesions. Seven patients were submitted to surgical treatment with two deaths. One patient was not submitted to surgery due to pulmonary hypertension and another one died before the surgery due to a respiratory infection complication. Conclusion:The surgical results are satisfactory when the APW presents as an isolated defect and when surgery is performed early, preventing the development of irreversible arterial pulmonary hypertension (APH). The presence of associated complex congenital heart disease is a bad prognostic factor in our series.

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

“…Aortopulmonary window requires early surgical repair after birth because congestive heart failure develops rapidly as a result of the high pulmonary blood flow . Without surgical correction, 40% to 50% of patients will die from congestive heart failure during the first year of life.…”

Case report of aortopulmonary window with undiagnosed interrupted aortic arch: Role of transesophageal echocardiography

“…[ 2 ] Preoperative imaging such as TTE, Doppler studies, and hemodynamic catheterization should be carried out to rule out these coexisting anomalies. [ 3 4 5 ] In our case, preoperative evaluation of TTE and CTA failed to diagnose IAA,[ 3 4 ] probably due to the continuous flow of DTA through PDA and also a possibility of human error. [ 2 ]…”