Aortopulmonary window

Aortopulmonary window

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-in-Chief: Keri Shafer, M.D. [2]

Overview

Aortopulmonary window or Aorticopulmonary window (APW) is a rare congenital opening between the aorta and the pulmonary trunk just above the aortic valve.

It is associated with other abnormalities in approximately 1/2 the cases, such as anomalous origin of the coronary arteries from the pulmonary trunk and coarctation of the aorta.

The murmur is lower and more medial in location. In adults is presented without a murmur and clinical features of the Eisenmenger's syndrome.

Further Reading

• Backer CL, Mavroudis C. Surgical management of aortopulmonary window: a 40-year experience. Eur J Cardiothorac Surg. May 2002; 21(5):773-9.
• Berry TE, Bharati S, Muster AJ, et al. Distal aortopulmonary septal defect, aortic origin of the right pulmonary artery, intact ventricular septum, patent ductus arteriosus and hypoplasia of the aortic isthmus: a newly recognized syndrome. Am J Cardiol. Jan 1982; 49(1):108-16.
• Brown JW, Ruzmetov M, Okada Y, et al. Outcomes in patients with interrupted aortic arch and associated anomalies: a 20-year experience. Eur J Cardiothorac Surg. May 2006; 29(5): 666-73; discussion 673-4.
• Chen MR, Wu SJ. Images in cardiovascular medicine. Unclassified type of aortopulmonary window. Circulation. Apr 18 2006; 113(15):e703-4.
• Das BB, Pauliks LB, Chan KC. Anatomically corrected malposition of the great arteries in the setting of aortopulmonary window associated with holoprosencephaly. Pediatr Cardiol. Jan-Feb 2006; 27(1): 175-6.
• Erez E, Dagan O, Georghiou GP, et al. Surgical management of aortopulmonary window and associated lesions. Ann Thorac Surg. Feb 2004; 77(2):484-7.
• Gross RE. Surgical closure of an aortic septal defect. Circulation. 1952; 5: 858.
• Hew CC, Bacha EA, Zurakowski D, et al. Optimal surgical approach for repair of aortopulmonary window. Cardiol Young. Jul 2001; 11(4): 385-90.
• Konstantinov IE, Karamlou T, Williams WG, et al. Surgical management of aortopulmonary window associated with interrupted aortic arch: a Congenital Heart Surgeons Society study. J Thorac Cardiovasc Surg. May 2006; 131(5): 1136-1141.e2.
• Tkebuchava T, von Segesser LK, Vogt PR, et al. Congenital aortopulumonary window: diagnosis, surgical technique and long-term results. Eur J Cardiothorac Surg. Feb 1997; 11(2): 293-7.
• Trowitzsch E, Schneider M, Urban A, Asfour B. Congenital pulmonary sling, aorto-pulmonary window and pulmonary vein obstruction as a diagnostic and therapeutic challenge in an infant with VACTERL association. Clin Res Cardiol. Jun 2006; 95(6): 338-43.
• Valsangiacomo ER, Smallhorn JF. Images in cardiovascular medicine. Prenatal diagnosis of aortopulmonary window by fetal echocardiography. Circulation. Jun 18 2002; 105(24):E192.
• Van Praagh R, Van Praagh S. The anatomy of common aorticopulmonary trunk (truncus arteriosus communis) and its embryologic implications. A study of 57 necropsy cases. Am J Cardiol. 1965; 16:406.

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