Relapse of aortopulmonary window 41 years after patch closure
Yuichiro Fukumoto1, Soh Hosoba1, Sho Takagi1
1Department of Cardiovascular Surgery, Toyohashi Heart Center, Toyohashi, Japan.
Abstract:
In this study, we describe a rare case of a 45-year-old man with a recurrence of aortopulmonary window (APW) 41 years after the initial patch closure for an APW at the age of 4. He presented with persistent cough and exertional dyspnoea. Imagings revealed a recurrence of APW, ascending aorta saccular aneurysm, and severe mitral and tricuspid regurgitation. Re-patch closure, ascending aortic replacement, and mitral and tricuspid annuloplasties were performed, followed by an uneventful postoperative course. The relapse of APW in the remote postoperative period is extremely rare.
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