Aortopulmonary Window : A Case Report

SUKASOM ATTANAWANICH, M.D.*, MONTEIN NGODNGARMTA WEESUK, M.D.*, PONGSAK KOWSATIT, M.D.** PIYA SAMANKATIWAT,M.D.*, SUTHEP W ANITKUL, M.D.**,

Affiliation : * Cardiovascular Thoracic Unit, Department of Surgery, ** Pediatric Cardiology Unit, Department of Pediatric, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.

AbstractAortopulmonary window (A-P window) is a rare congenital heart disease. The majority of patients come to the hospital with congestive heart failure. If they are left untreated, irre- versible pulmonary vascular hypertension inevitably occurs. Although the hemodynamic of this disease resembles large persistent ductus arteriosus, the treatment is quite different. We report one patient of A-P window, a 4 month-old girl, who presented with fever and dyspnea. On investiga- tions, she had A-P window. We successfully treated her by closure the defect under cardiopul- monary bypass. We describe the technique we used.

Keywords : Aortopulmonary Window, Case Report

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