Aortopulmonary window

Moritz C Wyler Von Ballmoos*, Michael Barnes, Stuart Berger, Michael E. Mitchell, James S. Tweddell

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Aortopulmonary window is a rare defect caused by failure of fusion of the two opposing conotruncal ridges that are responsible for separating the truncus arteriosus into the aorta and pulmonary artery. Aortopulmonary window may occur as an isolated lesion, or it can be associated with other cardiac abnormalities in a third to one-half of cases. The most common associated lesions are arch abnormalities including interrupted aortic arch and coarctation of the aorta. Other less common associated lesions may also occur. Antenatal diagnosis is rare. In the current era, early mortality following repair of simple aortopulmonary window approaches zero percent and depends on the presence of associated lesions especially interrupted aortic arch. Long-term outcome should be excellent. Early morbidity includes pulmonary artery stenosis and residual aortopulmonary septal defects. Long-term follow-up is indicated to look for recurrent lesions such as the development of branch pulmonary artery stenosis and arch obstruction.

Original languageEnglish (US)
Title of host publicationPediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care
PublisherSpringer-Verlag London Ltd
Pages1493-1504
Number of pages12
ISBN (Electronic)9781447146193
ISBN (Print)9781447146186
DOIs
StatePublished - Jan 1 2014

Keywords

  • Acyanotic
  • Anterior sandwich patch technique
  • Aortic
  • Aortopulmonary septal defect
  • Aortopulmonary window
  • Cardiac development
  • Cardiac surgery
  • Cardiopulmonary bypass
  • Congenital
  • Congestive
  • Echocardiography
  • Heart defects
  • Heart failure
  • Hypertension
  • Interrupted aortic arch
  • Murmur
  • Pulmonary

ASJC Scopus subject areas

  • Medicine(all)

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