1/11. Aortopulmonary window coexisting with tetralogy of fallot.Aortopulmonary window is a rare cardiac malformation presenting either in the isolated form, or in association with other cardiac anomalies. The isolated form usually presents an increased pulmonary blood flow as the main clinical feature, but if associated with other cardiac anomalies the clinical findings change according to the additional defect. Only 19 cases of aortopulmonary window associated with tetralogy of fallot have been reported. Five of them have associated pulmonary atresia. We report two neonatal cases of aortopulmonary window and tetralogy of fallot, one of them presenting an associated pulmonary atresia.- - - - - - - - - - ranking = 1keywords = pulmonary atresia, atresia (Clic here for more details about this article) |
2/11. prenatal diagnosis of an aorto-pulmonary window by fetal echocardiography.Congenital aorto-pulmonary window or congenital aorto-pulmonary septal defect is a rare fetal malformation usually diagnosed after birth by echocardiography and usually associated with other congenital cardiovascular abnormalities (interrupted aortic arch, ventricular septal defect, atrial septal defect, tetralogy of fallot). The authors report the first case of prenatal diagnosis of an aorto-pulmonary window associated with a ventricular septal defect identified by fetal ultrasonography at 28 weeks of pregnancy. The diagnosis was based on the echocardiographic images of normal semilunar aortic and pulmonic valves with evidence of a septal defect between the ascending aorta and pulmonary artery. The purpose of this report is to demonstrate the feasibility of antenatal diagnosis of this fetal malformation and help professionals who would be faced with such an unexpected prenatal image.- - - - - - - - - - ranking = 1.6290992185511E-5keywords = valve (Clic here for more details about this article) |
3/11. New device for percutaneous closure of aortopulmonary collaterals.A 4.5-month-old infant with tetralogy of fallot, pulmonary atresia, and multiple aortopulmonary collaterals underwent successful occlusion of the collaterals using a new device. This new plug (Amplatzer vascular plug) is a self-expandable cylindrical device made of nitinol wire mesh. The device is available in sizes from 4 to 16 mm in 2 mm increment. The device can be used in patients with aortopulmonary collaterals, pulmonary arteriovenous malformations, venovenous collaterals, shunts, coronary fistulas, and certain type of patent ductus arteriosus.- - - - - - - - - - ranking = 0.5keywords = pulmonary atresia, atresia (Clic here for more details about this article) |
4/11. Successful primary correction of tetralogy of fallot with pulmonary atresia and aortopulmonary window in a 2,220-g neonate with a valved bovine jugular vein conduit.prenatal diagnosis of tetralogy of fallot with pulmonary atresia (TOF/PA) was confirmed in a newborn with a birth weight of 2,095 g. Additionally, an aortopulmonary window (APW) type I was diagnosed on echocardiography. The operation was performed at the age of 4 weeks due to congestive heart failure. The APW was closed with a pericardial patch, the ventricular septal defect (VSD) with a Dacron patch, and the right ventricular outflow tract (RVOT) was reconstructed with a 12-mm bovine jugular vein valved conduit (Contegra, Medtronic Inc., Minneapolis, MN, USA). At 15-month follow-up, the patient is in excellent clinical condition without medication. On echocardiography, the conduit showed a mean gradient of 11 mmHg with first-degree insufficiency.- - - - - - - - - - ranking = 2.5000814549609keywords = pulmonary atresia, atresia, valve (Clic here for more details about this article) |
5/11. Aortopulmonary window with ventricular septal defect and pulmonary atresia: prenatal diagnosis and successful early surgical correction.We report a case in which aortopulmonary window (APW) in combination with pulmonary atresia was diagnosed correctly in a neonate by echocardiography. Prenatal echocardiography showed progression of tetralogy of fallot to pulmonary atresia with retrograde pulmonary perfusion, concealing the concomitant APW in fetal life. Due to intractable heart failure, primary correction was successfully performed at the age of 4 weeks (weight 2280 g).- - - - - - - - - - ranking = 2.5146766917477keywords = pulmonary atresia, atresia (Clic here for more details about this article) |
6/11. A case of aortopulmonary window simulating common arterial trunk presented at the age of 13.We have reported a patient with aortopulmonary window (APW) simulating truncus. In classically defined APW, aorta and main pulmonary artery separate again after a distance from the window and form the aortic arch and pulmonary arteries. However, in our case, there was no separation and they formed a very large pouch from which the great vessels originated. Thus, we believe that we have presented the first case of APW simulating truncus, but with two separate semilunar valves.- - - - - - - - - - ranking = 1.6290992185511E-5keywords = valve (Clic here for more details about this article) |
7/11. Aorticopulmonary window associated with tetralogy of fallot. Report of one case and review of the literature.A case of aorticopulmonary window associated with tetralogy of fallot is reported with its clinical, hemodynamic, angiocardiographic, surgical, and necropsy findings. The difficulty in diagnosing a tetralogy of fallot in the presence of a large aorticopulmonary shunt is emphasized. It is also noted that the only means of discovering the infundibular stenosis of the right ventricle is by angiocardiographic study of the right ventricular outflow tract. The difficulty in distinguishing truncus arteriosus from an aorticopulmonary window coexisting with a ventricular septal defect is discussed, and it is pointed out that the only means of differentiating these two anomalies is the angiocardiographic finding of two sigmoid valves. An embryological hypothesis concerning the pathogenesis of this association is also discussed.- - - - - - - - - - ranking = 1.6290992185511E-5keywords = valve (Clic here for more details about this article) |
8/11. Assessment of major aortopulmonary collateral arteries with multidetector-row computed tomography.Multidetector-row computed tomography (MDCT) studies were performed in three adult patients with pulmonary atresia with a ventricular septal defect. In all patients, the native pulmonary arteries were absent, and the pulmonary circulation was totally supplied by major aortopulmonary collateral arteries (MAPCAs). MDCT studies with 1-mm collimation provided detailed information on MAPCAs and bronchial collaterals, such as the numbers and sites of origin, their varying diameters, their courses, and the areas of the lungs they supply. MDCT studies may provide an efficient road map for safe and successful selective catheterization and may substitute for conventional angiography in patients with considerable risks.- - - - - - - - - - ranking = 0.5keywords = pulmonary atresia, atresia (Clic here for more details about this article) |
9/11. Aortic atresia with aortopulmonary window and interruption of the aortic arch.The cross-sectional echocardiographic and postmortem appearances of the heart from a patient with the rare association of aortic valve atresia, aortopulmonary window, and interrupted aortic arch are described. Differentiation of this anomaly from truncus arteriosus with interrupted aortic arch is important.- - - - - - - - - - ranking = 0.073399749730763keywords = atresia, valve (Clic here for more details about this article) |
10/11. Non-valvular main pulmonary artery vegetation associated with aortopulmonary window.We present a 32-year-old female with aortopulmonary window and vegetation of non-valvular main pulmonary artery. The aortopulmonary window is a rare congenital disease in which the aorta and pulmonary arteries are communicated by a defect of variable diameter. The pulmonic valve is the least commonly involved valve in bacterial endocarditis, but there is no vegetation of non-valvular main pulmonary artery in the literature. Colour duplex sonography showed an aortopulmonary window with aortic regurgitation. Magnetic resonance (MR) imaging demonstrating the vegetation on the wall of main pulmonary artery, is an useful and complementary method, and can be used for demonstration of congenital and acquired cardiovascular pathologies including aortopulmonary window and subpulmonic or suprapulmonic vegetations.- - - - - - - - - - ranking = 3.2581984371022E-5keywords = valve (Clic here for more details about this article) |
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