Transcatheter Treatment of Large Aortopulmonary Window: A Case Report

Authors

  • Zuoyuan Chen Department of Cardiology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong
  • Jidong Zhang Department of Cardiology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong
  • Xiaxia Wang Department of Cardiology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong
  • Quansheng Xing Heart Center, Children’s Hospital of Qingdao University, Qingdao, Shandong
  • Hui Xin Department of Cardiology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong
  • Zhexun Lian Department of Cardiology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong
  • Pin Sun Department of Cardiac Ultrasound, The Affiliated Hospital of Qingdao University, Qingdao, Shandong
  • Qin Wu Heart Center, Children’s Hospital of Qingdao University, Qingdao, Shandong
  • Daxin Zhou Department of Cardiology, Zhongshan Hospital of Fudan University, Shanghai

DOI:

https://doi.org/10.1532/hsf.1301

Abstract

Introduction: Aortopulmonary window (APW), a large aortopulmonary septal defect (APSD), is a serious and rare defect within congenital heart diseases.
Case report: In this study, we reported an APW case with severe pulmonary arterial hypertension. This patient was successfully treated by transcatheter closure with a muscular ventricular septal defect (VSD) occluder.
Conclusion: We had a successful experience with transcatheter closure of a large APW using a muscular VSD occluder. There was no residual shunt or complications during the 6-month follow-up.

References

Atiq M, Rashid N, Kazmi K, Qureshi S. 2003. Closure of aortopulmonary window with amplatzer duct occluder device. Pediatr Cardiol 24:298-9.

Backer C, Mavroudis C. 2002. Surgical management of aortopulmonary window: A 40-year experience. Eur J Cardiothorac Surg 21:773-9.

Elhoury M, Almoukirish A, Alshamrani A, Galal M. 2008. Abnormal orientation of amplatzer pda device on a chest radiogram masking foreign body aspiration. Int J Pediatr Otorhinolaryngol 72:1559-62.

Erez E, Dagan O, Georghiou GP, Gelber O, Vidne BA, Birk E. 2004. Surgical management of aortopulmonary window and associated lesions. Ann Thorac Surg 77:484-7.

Jureidini SB, Spadaro JJ, Rao PS. 1998. Successful transcatheter closure with the buttoned device of aortopulmonary window in an adult. Am J Cardiol 81:371-2.

Li X, Zhu D, Feng Y. 2014. Transcatheter closure of late-onset residual aortopulmonary septal defect using a muscular ventricular septal occluder. Int Heart J 55:89-91.

Mert M, Paker T, Akcevin A, et al. 2004. Diagnosis, management, and results of treatment for aortopulmonary window. Cardiol Young 14:506-11.

Michel-Behnke I, Akintuerk H, Marquardt I, et al. 2003. Stenting of the ductus arteriosus and banding of the pulmonary arteries: Basis for various surgical strategies in newborns with multiple left heart obstructive lesions. Heart 89:645-50.

Naik GD, Chandra VS, Shenoy A, et al. 2003. Transcatheter closure of aortopulmonary window using amplatzer device. Catheter Cardiovasc Interv 59:402-5.

Noonan PM, Desai T, DeGiovanni JV. 2013. Closure of an aortopulmonary window using the amplatzer duct occluder ii. Pediatr Cardiol 34:712-14.

Prem Sekar R, Bhima Shankar P, Cherian KM. 2012. Transcatheter closure of a residual aortopulmonary window through internal jugular vein access. Indian Heart J 64:521-3.

Srivastava A, Radha AS. 2012. Transcatheter closure of a large aortopulmonary window with severe pulmonary arterial hypertension beyond infancy. J Invasive Cardiol 24:E24.

Stamato T, Benson LN, Smallhorn JF, Freedom RM. 1995. Transcatheter closure of an aortopulmonary window with a modified double umbrella occluder system. Cathet Cardiovasc Diagn 35:165-7.

Published

2015-12-08

How to Cite

Chen, Z., Zhang, J., Wang, X., Xing, Q., Xin, H., Lian, Z., Sun, P., Wu, Q., & Zhou, D. (2015). Transcatheter Treatment of Large Aortopulmonary Window: A Case Report. The Heart Surgery Forum, 18(6), E237-E239. https://doi.org/10.1532/hsf.1301

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Articles