3D Echocardiographic and Computed Tomographic Angiography Guidance for Percutaneous Closure of a Type II (Intermediate) AortopulmonaryWindow. A 4-year-old female was diagnosed with Type II Aortopulmonarywindow after being seen for a murmur. By utilizing multimodality advanced imaging, including 2D and 3D echo, computed tomography (CTA) with semi-transparent overlay as a road map, we were able
Traumatic Aortopulmonary Fistula: An Acquired Type 1 AortopulmonaryWindow. We report a patient with an acquired traumatic aortopulmonarywindow. The patient presented with an aortopulmonary fistula between the proximal ascending aorta and pulmonary trunk, which was missed on the initial hospital admission. The 26-year-old patient presented with high-output cardiac failure and examination
Topsy-Turvy Heart with AortopulmonaryWindow and Severe Airway Malacia: Prenatal Diagnosis and Review of the Literature. The topsy-turvy heart is a very rare cardiac malformation that involves a global 90° clockwise rotation of the heart along its long axis. This rotation results in the displacement of the great arteries and severe elongation and stretching of the brachiocephalic arteries
AortopulmonaryWindow Surgery AortopulmonaryWindow Surgery: Background, History of the Procedure, Problem For YouNews & PerspectiveDrugs & DiseasesCME & EducationAcademyVideoDecision PointEdition:EnglishMedscapeEnglishDeutschEspañolFrançaisPortuguêsUKNewUnivadisLog In Sign Up It's Free!English EditionMedscape * English * Deutsch * Español * Français * Português * UKNewUnivadisXUnivadis from =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvOTAzNzMzLW92ZXJ2aWV3processing....Drugs & Diseases > Pediatrics: Cardiac Disease and Critical Care Medicine AortopulmonaryWindow SurgeryUpdated: Jun 24, 2021 * Author: Mary C Mancini, MD, PhD, MMM; Chief Editor: Suvro S Sett, MD, FRCSC, FACS more... * * Share * Email * Print * FeedbackClose * Facebook * Twitter * LinkedIn * WhatsAppSections AortopulmonaryWindow Surgery * * Sections AortopulmonaryWindow Surgery
Outcomes After AortopulmonaryWindow for Hypoplastic Pulmonary Arteries and Dual-Supply Collaterals. Our institutional approach to tetralogy of Fallot with major aortopulmonary collateral arteries (MAPCAs) emphasizes early unifocalization and complete repair (CR). In the small subset of patients with dual-supply MAPCAs and confluent but hypoplastic central pulmonary arteries (PAs), our surgical approach is early creation of an aortopulmonarywindow (APW) to promote PA growth. Factors associated with successful progression to CR and mid-term outcomes have not been assessed. Clinical data were reviewed. PA diameters were measured offline from angiograms prior to APW and on follow-up catheterization >1 month after APW but prior to any additional surgical interventions. From November 2001 to March
Surgical Closure of AortopulmonaryWindow in a Topsy-Turvy Heart: A Surgical Challenge. Topsy-turvy heart is a rare congenital cardiac anomaly characterized by a 90° rotation of the heart along its long axis. The great vessels originate posteroinferiorly, and the arch vessels are elongated and join the aorta well below the carina. It is usually associated with aortic arch and tracheobronchial anomalies. Cardiopulmonary bypass is challenging in these patients because of the abnormal position of the great vessels. We describe the surgical management of aortopulmonarywindow in a topsy-turvy heart in a 14-day-old girl.
Current Outcomes of Surgical Management of AortopulmonaryWindow and Associated Cardiac Lesions. Aortopulmonarywindow (APW) is a rare congenital defect that is often associated with other cardiac lesions. We analyzed our operative strategy to determine whether this had any relationship with outcomes. Early and late outcomes of 40 children who underwent APW repair at our institution during a 20
Unique branching pattern of aortic arch in a patient with aortopulmonarywindow Aortic arch (AA) anomalies are usually associated with congenital heart disease. Variations such as aberrant subclavian artery have significance if shunt surgery is planned. Other variations may be clinically insignificant or present with respiratory or oesophageal symptoms. Demonstration and understanding of arch anomalies are crucial for managing as well as improving our understanding of their embryological basis. This presentation illustrates an unusual branching pattern of AA in a patient with an aortopulmonarywindow in which five arteries independently arose from the AA. CT imaging appearance of the anomaly is illustrated. A brief description of the embryological basis and significance of the anomaly
Rare Case of AortopulmonaryWindow With Anomalous Origin of Right Coronary Artery. A 5-month-old infant presented with a rare, congenital heart disease: aortopulmonarywindow with an anomalous origin of the right coronary artery from the aortopulmonarywindow. Using echocardiography and computed tomography, the exact diagnosis could only be ascertained retrospectively; however, cardiac
One-Stage Repair of an Interrupted Aortic Arch with an AortopulmonaryWindow in a Premature Neonate Interrupted aortic arch with an aortopulmonarywindow is a rare congenital entity that is associated with high morbidity and mortality, especially in premature low-birth-weight infants, and the proper timing of surgical correction remains a matter of debate. We present the case of a premature infant weighing 1.6 kg who successfully underwent one stage surgical repair to treat interrupted aortic arch with an aortopulmonarywindow. The therapeutic management of this patient is described below, and a review of the literature is presented.
Outcomes of AortopulmonaryWindow Repair in Children: 33 Years of Experience. The purpose of this study was to assess the outcomes of children undergoing repair of aortopulmonarywindow (APW). We conducted a retrospective review of all children (n=43) who underwent surgical repair of APW between 1980 and 2013. Median age at surgery was 40 days (range, 13 to 125). Simple APW was present in 15
High cardiac background activity limits 99mTc-MIBI radioguided surgery in aortopulmonarywindow parathyroid adenomas. Radioguided surgery using 99m-Technetium-methoxyisobutylisonitrile (99mTc-MIBI) has been recommended for the surgical treatment of mediastinal parathyroid adenomas. However, high myocardial 99mTc-MIBI uptake may limit the feasibility of radioguided surgery in aortopulmonarywindow parathyroid adenoma. Two female patients aged 72 (#1) and 79 years (#2) with primary hyperparathyroidism caused by parathyroid adenomas in the aortopulmonarywindow were operated by transsternal radioguided surgery. After intravenous injection of 370 MBq 99mTc-MIBI at start of surgery, the maximum radioactive intensity (as counts per second) was measured over several body regions using a gamma
AortopulmonaryWindow and the Interrupted Aortic Arch: Midterm Results With Use of the Single-Patch Technique. An aortopulmonarywindow (APW) associated with an interrupted aortic arch (IAA) can be associated with significant rates of perioperative mortality and recurrent arch obstruction. We assessed the outcomes associated with the use of a single pericardial patch technique for primary repair