Document Detail


Diagnosis, management, and results of treatment for aortopulmonary window.
MedLine Citation:
PMID:  15680072     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aortopulmonary window is a communication between the ascending aorta and the pulmonary trunk in the presence of two separate arterial valves. This uncommon congenital anomaly is reported rarely in the literature. We present here our experience with 16 patients, emphasizing the importance of early closure of the defect by a transaortic approach. We performed surgery on 16 patients over a period of 13 years using a transaortic approach under cardiopulmonary bypass. The median age of the patients at the time of operation was 6.5 months, with a range from 1 month to 11 years. Preoperative pulmonary arterial systolic pressure ranged from 30 to 100 mmHg. Associated cardiac anomalies were present in 7 of the patients, and were repaired at the same stage. The defect was between the ascending aorta and the proximal pulmonary trunk in 13 patients, and between the ascending aorta and the distal pulmonary trunk, with overriding of the orifice of the right pulmonary artery, in 3 patients. For closure, we used a patch of 0.4 mm Gore-Tex in 11, and gluteraldehyde-treated autologous pericardium in 5 of the patients. One patient died during surgery. The mean follow-up period for the surviving 15 patients was 52.2 months, with a range from 12 to 130 months. All the patients were in good condition during the follow-up, and no residual defects have been detected. Aortopulmonary window is a rare congenital cardiac anomaly, which can be repaired with very good operative results if surgery is performed before the development of irreversible pulmonary hypertension. We advise early correction of the defect with a transaortic patch, repairing all associated cardiac anomalies at the time of diagnosis.
Authors:
Murat Mert; Tufan Paker; Atif Akcevin; Gurkan Cetin; Ahmet Ozkara; Levent Saltik; Ihsan Bakir; Cenk Eray Yildiz
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiology in the young     Volume:  14     ISSN:  1047-9511     ISO Abbreviation:  Cardiol Young     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2005-01-31     Completed Date:  2005-06-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200019     Medline TA:  Cardiol Young     Country:  England    
Other Details:
Languages:  eng     Pagination:  506-11     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Institute of Cardiology, Istanbul University, Istanbul, Turkey. mmert@superonline.com
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MeSH Terms
Descriptor/Qualifier:
Aortopulmonary Septal Defect / diagnosis,  mortality,  surgery*
Cardiovascular Surgical Procedures / methods
Child
Child, Preschool
Follow-Up Studies
Heart Defects, Congenital / surgery
Humans
Infant
Infant, Newborn
Postoperative Care
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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