AN AORTOPULMONARY TUNNEL AS AN EXTRA-CARDIAC SYSTEMIC TO PULMONARY SHUNT

Authors

  • Azril Ishak Department of Radiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia
  • Hasyma Abu Hassan Department of Radiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia
  • Yusri Mohammed Department of Radiology, Hospital Serdang, Serdang, Malaysia

DOI:

https://doi.org/10.32896/cvns.v4n4.13-17

Keywords:

aortopulmonary window, aortopulmonary tunnel, systemic-pulmonary shunt

Abstract

Aortopulmonary window, one of the rarest congenital heart diseases, causes unrestricted left-to-right shunt and may lead to congestive heart failure, pulmonary vascular obstructive disease and low cardiac output. Echocardiogram and CT angiography are important non-invasive diagnostic tools. Surgical closure is indicated in all patients diagnosed with APW and is usually performed at the time of diagnosis to reduce the risk of developing early pulmonary vascular disease. We report on a term baby girl with variant of aortopulmonary window which manifest as a tunnel on CT angiography.

References

García C, Álvarez T, Bravo C, Pérez-Caballero R, Viadero MT, Gámez F, et al. Prenatal Diagnosis of an Aortopulmonary Window With an Interrupted Aortic Arch. J ultrasound Med Off J Am Inst Ultrasound Med. 2016 Oct;35(10):2087–93.

Barnes ME, Mitchell ME, Tweddell JS. Aortopulmonary window. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2011;14(1):67–74.

Srinivasa H, Natraj S, Vijayalakshmi IB, Narasimhan C, Nanjappa C. Case Report Aortopulmonary Window in Association with Subpulmonic Ventricular Septal Defect and Non Compaction of Left Ventricle. 2015;6(4):197–9.Costa TJ, Damry N,

Jacquemart C, Christophe C. Aortopulmonary window: a rare congenital heart disease. JBR-BTR organe la Soc R belge Radiol = orgaan van K Belgische Ver voor Radiol. 2014;97(6):356–7.

Mori K, Ando M, Takao A, Ishikawa S, Imai Y. Distal type of aortopulmonary window. Report of 4 cases. Br Heart J. 1978 Jun;40(6):681–9.

Ho SY, Gerlis LM, Anderson C, Devine WA, Smith A. The morphology of aortopulmonary windows with regard to their classification and morphogenesis. Cardiology in the Young. [Online] Cambridge University Press; 1994;4(2): 146–155. Available from: doi:10.1017/S1047951100002092

Chidambarathanu S, Agarwal R, Hussain ZM, Brown NA, Anderson RH. A Tubular Aortopulmonary Window: An Embryological Curiosity. World J Pediatr Congenit Heart Surg. 2016 May;7(3):411–3.

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Published

31-12-2022

How to Cite

Ishak, A., Abu Hassan, H., & Mohammed, Y. (2022). AN AORTOPULMONARY TUNNEL AS AN EXTRA-CARDIAC SYSTEMIC TO PULMONARY SHUNT. Journal Of Cardiovascular, Neurovascular & Stroke, 4(4), 13–17. https://doi.org/10.32896/cvns.v4n4.13-17

Issue

Vol. 4 No. 4 (2022): Journal of Cardiovascular, Neurovascular & Stroke

Section

Case Series/Reports

License

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