Surgical repair for aortopulmonary window with interrupted aortic arch in late childhood
Sachin Talwar1, Niwin George1, Saurabh K Gupta1
1Cardiothoracic Center, All India Institute of Medical Sciences, New Delhi110029, India.
Insights
Surgical repair of a rare aortopulmonary window with interrupted aortic arch was successful in a 6-year-old girl. This complex congenital heart defect management offers hope for older children, achieving near-normal pulmonary artery pressure post-operation.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Surgery
- Cardiovascular Medicine
Background:
- Aortopulmonary window with interrupted aortic arch is a rare congenital heart defect.
- Surgical repair is typically challenging and rarely reported beyond infancy.
Observation:
- This report details the case of a 6-year-old girl diagnosed with aortopulmonary window and interrupted aortic arch.
- The patient presented with complex cardiovascular anatomy requiring specialized pre-operative assessment.
Findings:
- Successful surgical repair of the aortopulmonary window with interrupted aortic arch was achieved in this 6-year-old patient.
- Pulmonary artery pressure normalized immediately following the complex surgical intervention.
Implications:
- This case demonstrates the feasibility of surgical correction for complex congenital heart defects in older children.
- Successful outcomes highlight advancements in surgical techniques and pre-operative planning for rare cardiac anomalies.
Abstract:
Aortopulmonary window with interrupted aortic arch is rarely reported beyond infancy. Pre-operative assessment and surgical repair are challenging. We report successful surgical repair of aortopulmonary window with interrupted aortic arch in a 6-year-old girl with near-normal pulmonary artery pressure immediately following surgery.


