Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지
DOI QR코드

DOI QR Code

Aortic Reconstruction Using a Main Pulmonary Artery Flap in an Isolated Aortopulmonary Window

  • Shin, Hong Ju (Department of Thoracic and Cardiovascular Surgery, Korea University Ansan Hospital, Korea University College of Medicine) ;
  • Jung, Younggi (Department of Thoracic and Cardiovascular Surgery, Korea University Ansan Hospital, Korea University College of Medicine) ;
  • Shin, Jae Seung (Department of Thoracic and Cardiovascular Surgery, Korea University Ansan Hospital, Korea University College of Medicine)
  • Received : 2019.01.24
  • Accepted : 2019.03.07
  • Published : 2019.08.05
Download PDF
⟨ Previous Next ⟩

Abstract

Aortopulmonary window (APW) is a rare cardiac anomaly that was reported to occur in only 43 cases over 33 years at a large-volume cardiac center. It can present as an isolated anomaly or in combination with another cardiac anomaly. The surgical technique for APW has evolved from simple ligation to separation of the 2 great arteries. However, because of the rarity of APW, there is no standard surgical treatment for this disease entity. Herein, we present successful aortic reconstruction using a main pulmonary artery flap after separation of the 2 great arteries in a neonate with isolated APW.

Keywords

References

  1. Jacobs JP, Quintessenza JA, Gaynor JW, Burke RP, Mavroudis C. Congenital heart surgery nomenclature and database project: aortopulmonary window. Ann Thorac Surg 2000;69(4 Suppl):S44-9. https://doi.org/10.1016/S0003-4975(99)01236-9
  2. Naimo PS, Yong MS, d'Udekem Y, et al. Outcomes of aortopulmonary window repair in children: 33 years of experience. Ann Thorac Surg 2014;98:1674-9. https://doi.org/10.1016/j.athoracsur.2014.06.043
  3. Barnes ME, Mitchell ME, Tweddell JS. Aortopulmonary window. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2011;14:67-74. https://doi.org/10.1053/j.pcsu.2011.01.017
  4. Gross RE. Surgical closure of an aortic septal defect. Circulation 1952;5:858-63. https://doi.org/10.1161/01.CIR.5.6.858
  5. Van Son JA, Hambsch J, Mohr FW. Anatomical reconstruction of aorta and pulmonary trunk in patients with an aortopulmonary window. Ann Thorac Surg 2000;70:674-5. https://doi.org/10.1016/S0003-4975(00)01485-5