Congenital Aortopulmonary Septal Defect
نویسنده
چکیده
T HE MANAGEMENT of patients with congenital communications between the ascending aorta and the main pulmonary artery is a challenging problem, not only in the establishment of the correct diagnosis preoperatively, but in subsequent surgical treatment as well. Although often described as a rare malformation, aortopulmonary septal defect will probably be encountered in any large group of patients with acyanotic forms of congenital heart disease that is subjected to detailed diagnosis assessment or operation. Six patients with aortopulmonary septal defects have been studied at the National Heart Institute and in five the lesion was subsequently corrected. Since the success of operative treatment, for this lesion in particular, is largely dependent upon preoperative recognition and appropriate preparation, the diagnostic features of the malformation in these patients as well as the technic and results of closure are presented in detail.
منابع مشابه
Transcatheter Treatment of Large Aortopulmonary Window: A Case Report.
INTRODUCTION Aortopulmonary window (APW), a large aortopulmonary septal defect (APSD), is a serious and rare defect within congenital heart diseases. CASE REPORT In this study, we reported an APW case with severe pulmonary arterial hypertension. This patient was successfully treated by transcatheter closure with a muscular ventricular septal defect (VSD) occluder. CONCLUSION We had a succes...
متن کاملSurgical repair of D-TGA with an aortopulmonary window and ventricular septal defects.
D-Transposition of great arteries with an aortopulmonary window is a rare congenital anomaly. We describe a case of D-Transposition of great arteries with an aortopulmonary window and multiple ventricular septal defects in a 5-month boy who underwent successful surgical repair.
متن کامل[Aortopulmonary window: clinical assessment and surgical results].
INTRODUCTION AND OBJECTIVES Aortopulmonary septal defect is an uncommon congenital cardiac anomaly. To date, approximately 300 cases have been reported. We present our experience, emphasizing the importance of early correction to avoid irreversible pulmonary hypertension. PATIENTS AND METHOD Between 1979 and 2000, seven patients underwent surgical repair of this heart defect in our hospital. ...
متن کاملSurgical management of pulmonary atresia with ventricular septal defect and major aortopulmonary collaterals: a protocol-based approach.
Historically, outcomes of pulmonary atresia with ventricular septal defect and major aortopulmonary collaterals have been quite poor. Over the past 15 years, our group has strived to apply a consistent surgical strategy for this lesion based on two guiding principles: early unifocalization of all important collaterals; and the early establishment of a low-pressure pulmonary arterial bed, prefer...
متن کامل