Aortopulmonary Window With Anomalous Coronary Arteries
Jiten Singh1, Manpal Loona1, Alok Suryavanshi1
1Department of Cardiothoracic and Vascular Surgery, Fortis Hospital, Mohali, India.
Journal of Cardiac Surgery
|September 22, 2015
Summary
A rare congenital heart defect, aortopulmonary window with anomalous coronary artery origin, was successfully treated in an infant. A surgical baffle rerouted coronary arteries originating from the pulmonary artery to the aorta.
Area of Science:
- Cardiovascular Surgery
- Pediatric Cardiology
- Congenital Heart Disease
Background:
- Aortopulmonary window (APW) is a rare congenital heart defect.
- Anomalous origin of coronary arteries from the pulmonary artery (ACAPA) is a critical condition.
- The simultaneous occurrence of APW and ACAPA is exceptionally rare.
Observation:
- A four-month-old male infant presented with symptoms indicative of a complex congenital heart defect.
- Diagnostic imaging revealed an aortopulmonary window.
- Both the right and left coronary arteries originated from a single ostium in the anterior sinus of the pulmonary artery.
Findings:
- The patient had a rare combination of aortopulmonary window and anomalous origin of both coronary arteries from the pulmonary artery.
- Surgical intervention involved creating a pericardial baffle.
- The baffle successfully shunted the common coronary ostium to the aorta via the aortopulmonary window.
Implications:
- This case demonstrates a successful surgical management strategy for a rare and complex congenital heart anomaly.
- The technique highlights the feasibility of rerouting coronary arteries originating from the pulmonary artery in the presence of an APW.
- Effective surgical correction can lead to favorable outcomes in neonates and infants with these combined defects.
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