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Aortopulmonary window: a single institution surgical experience.

Abhijeet V Naik1, Prasanna Salvi, Amit Mhatre

  • 1Fortis Pediatric and Congenital Heart Center, Mulund, Mumbai, India.

Asian Cardiovascular & Thoracic Annals
|March 4, 2014
PubMed
Summary

Surgical closure of aortopulmonary window is safe and effective, with no operative deaths in 10 patients. Early repair prevents pulmonary vascular disease and yields excellent outcomes, with off-pump techniques offering shorter ICU stays.

Keywords:
Aortaaortopulmonary septal defectcardiovascular surgical proceduresinfantpulmonary artery

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Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Pediatric Cardiac Surgery

Background:

  • Aortopulmonary window is a rare congenital cardiac anomaly.
  • This study reports surgical experience with this rare defect.
  • Highlights criteria for treatment without cardiopulmonary bypass.

Purpose of the Study:

  • To evaluate the safety and efficacy of surgical closure for aortopulmonary window.
  • To assess outcomes of both on-pump and off-pump surgical techniques.
  • To identify criteria for treating aortopulmonary window without cardiopulmonary bypass.

Main Methods:

  • Retrospective review of 10 patients (1-10 months old) operated on between May 2007 and April 2012.
  • Surgical repair performed by a single surgeon using both off-pump and standard cardiopulmonary bypass techniques.
  • Preoperative and postoperative echocardiographic assessments and clinical follow-up.

Main Results:

  • No operative deaths; all patients survived to last follow-up.
  • No major morbidities observed.
  • Off-pump repair in two cases resulted in shorter intensive care unit stays; all patients achieved New York Heart Association class I with no residual shunt.

Conclusions:

  • Surgical closure of aortopulmonary window has a low surgical risk.
  • Early surgical intervention prevents pulmonary vascular disease and ensures good outcomes.
  • Off-pump repair is a viable option when judiciously applied.