medigraphic.com
SPANISH

Revista Cubana de Cardiología y Cirugía Cardiovascular

ISSN 1561-2937 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2013, Number 2

<< Back Next >>

Rev Cubana Cardiol Cir Cardiovasc 2013; 19 (2)

Aortopulmonary Window and Subaortic Stenosis: an unusual association

Marcano SL, Naranjo UA, González MA
Full text How to cite this article

Language: Spanish
References: 5
Page: 91-94
PDF size: 371.42 Kb.


Key words:

Aortopulmonary Window, Subaortic stenosis, Surgery.

ABSTRACT

Aortopulmonary Window and subaortic stenosis is a very unusual association and less than 10 cases have been reported. A 16-month-old girl (weight, 7.5 kg) was evaluated with symptoms of congestive heart failure and diagnosis of ventricular septal defect. Echocardiographic evaluation revealed a dilation of the left atrium and ventricle, with good ventricular function, very small perimembranous ventricular septal defects, and subaortic stenosis because of fibrous ridge. Large Aortopulmonary Window, 10-mm, type III, was evidenced with features of severe pulmonary hypertension. Transaortic surgical closure with polytetrafluoroe-thylene patch was done. A subaortic ridge was thin and closer to the aortic valve. Her postoperative course was uneventful without pulmonary hypertension crisis. After 18 months of follow up her clinical condition is excellent. In view of the rarity of this association it was considered worthy of report.


REFERENCES

  1. Jacobs JP, Quintessenza JA, Gaynor JW, Burke RP, Ma-vroudis C. Congenital Heart Surgery Nomenclature and Data-base Project: aortopulmonary window. Ann Thorac Surg. 2000; 69(Suppl):S44-S49.

  2. Soares AM, Atik E, Cortêz TM, Albuquerque AMT, Castro CP, Barbero-Marcial M, et al. Aortopulmonary window. Clinical and surgical assessment of 18 cases. Arq. Bras. Cardiol. 1999; 73:67-74.

  3. Backer C.L, Mavroudis C. Surgical management of aorto-pulmonary window: a 40-year experience. Eur J Cardiothorac Surg. 2002; 21:773-9.

  4. Jansen C, Hruda J, Rammeloo L, Ottenkamp J, Hazekamp MG. Surgical repair of aortopulmonary window: thirty-seven years of experience. Pediatr Cardiol. 2006; 27:552-6.

  5. Bagtharia R, Trivedi KR, Burkhart HM, Williams WG, Free-dom RM, Van Arsdell GS, et al. Outcomes for patients with an aortopulmonary window, and the impact of associated cardi-ovascular lesions. Cardiology in the Young. 2004; 14:473-80.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Cubana Cardiol Cir Cardiovasc. 2013;19