1/13. Transesophageal echocardiography in aortopulmonary communications.The assessment of congenital aortopulmonary communications by transthoracic echocardiography may be suboptimal, particularly postoperatively, due to limited acoustic windows. We performed intraoperative transesophageal echocardiograms in six patients with eight proven systemic-pulmonary communications. diagnosis included truncus arteriosus (1), aortopulmonary window (1), Waterston anastomosis (3), central Gore-Tex shunt (1), and modified left Blalock-Taussig shunt (2). All communications were accurately demonstrated by transesophageal echocardiography (TEE). The transesophageal technique also provided an assessment of the size of the aortopulmonary communications and the proximal pulmonary arteries. In addition, the gradient across some of the communications could be accurately estimated utilizing the high pulse repetition frequency Doppler. On the other hand, only two of the seven aortopulmonary communications were detected by transthoracic echocardiography. Postoperatively, transesophageal imaging demonstrated unobstructed conduit in five of five patients who underwent conduit repair, as well as intact closure of aortopulmonary communications and concomitant closure of ventricular septal defects.- - - - - - - - - - ranking = 1keywords = closure (Clic here for more details about this article) |
2/13. Aortopulmonary window: a case report.Aortopulmonary 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, irreversible 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 investigations, she had A-P window. We successfully treated her by closure the defect under cardiopulmonary bypass. We describe the technique we used.- - - - - - - - - - ranking = 0.5keywords = closure (Clic here for more details about this article) |
3/13. Amplatzer device closure of a residual aortopulmonary window.Significant residual defects after surgical closure of aortopulmonary windows have previously required re-operation. In this paper, we describe the use of a custom made Amplatzer closure device to occlude a hemodynamically significant defect in a 5-year-old child. The device was successfully deployed without complication, and resulted in a major reduction in aorto-pulmonary flow.- - - - - - - - - - ranking = 3keywords = closure (Clic here for more details about this article) |
4/13. Closure of aortopulmonary window with amplatzer duct occluder device.Aortopulmonary window is a relatively uncommon congenital heart defect. We report on a patient with a small aortopulmonary window, who presented with an asymptomatic murmur and in whom catheter closure was successfully performed with an Amplatzer Duct Occluder.- - - - - - - - - - ranking = 0.5keywords = closure (Clic here for more details about this article) |
5/13. Transcatheter closure of aortopulmonary window using Amplatzer device.Two cases of transcatheter closure of aortopulmonary window (APW) using an Amplatzer duct occluder in one and a septal occluder device in the second are described. Transcatheter device closure of APW should be considered when anatomy is favorable in terms of location and size of the defect with absence of associated anomalies.- - - - - - - - - - ranking = 3keywords = closure (Clic here for more details about this article) |
6/13. New device for percutaneous closure of aortopulmonary collaterals.A 4.5-month-old infant with tetralogy of fallot, pulmonary atresia, and multiple aortopulmonary collaterals underwent successful occlusion of the collaterals using a new device. This new plug (Amplatzer vascular plug) is a self-expandable cylindrical device made of nitinol wire mesh. The device is available in sizes from 4 to 16 mm in 2 mm increment. The device can be used in patients with aortopulmonary collaterals, pulmonary arteriovenous malformations, venovenous collaterals, shunts, coronary fistulas, and certain type of patent ductus arteriosus.- - - - - - - - - - ranking = 2keywords = closure (Clic here for more details about this article) |
7/13. Transcatheter closure of aortopulmonary window.Aortopulmonary window is an uncommon congenital cardiac defect. Most infants presenting with aortopulmonary window will require conventional surgical repair. Experience with transcatheter closure of aortopulmonary window is limited. We report the case of a 9-year-old girl with aortopulmonary window, in whom transcatheter closure was performed successfully using Amplatzer ductal occluder device.- - - - - - - - - - ranking = 3keywords = closure (Clic here for more details about this article) |
8/13. Surgical closure of aorto-pulmonary window without cardiopulmonary bypass.The surgical treatment of aorto-pulmonary window by a closed technique is described. This avoids the increased risks of extracorporeal circulation and deep hypothermia with or without total circulatory arrest in the neonate or very sick infant.- - - - - - - - - - ranking = 2keywords = closure (Clic here for more details about this article) |
9/13. Total anatomic correction of interrupted aortic arch complex. Experience in 4 infants.In two cases of interrupted aortic arch (IAA) of type A, one associated with a ventricular septal defect (VSD) and one with an aortopulmonary window, and two of type B, both associated with a VSD, total anatomic repair was performed at respective ages of 6 months and 24, 8 and 3 days. All four operations were performed through a median sternotomy, using profound hypothermia and circulatory arrest. The repair included resection of the patent ductus arteriosus, direct end-to-side anastomosis of the descending to the ascending aorta and closure of the VSD or, in one case, of the aortopulmonary window. The two oldest infants (with type A IAA) survived. Reexamination two years postoperatively demonstrated good width of the aortic anastomosis with no gradient. In the child who had had an aortopulmonary window there was a proximal tight stenosis of the right pulmonary artery, which was corrected at reoperation. Total anatomic correction of IAA through an anterior approach is technically feasible and the aortic anastomosis seems to grow satisfactorily. The management of very sick neonates with IAA remains a great challenge.- - - - - - - - - - ranking = 0.5keywords = closure (Clic here for more details about this article) |
10/13. Transcatheter closure of an aortopulmonary window with a modified double umbrella occluder system.Transcatheter occlusion of a small aortopulmonary window was successfully performed in a child using a double umbrella occluding device. The delivery system was adapted for use through a small sheath from a transvenous approach. Transcatheter closure is feasible in appropriately selected aortopulmonary windows.- - - - - - - - - - ranking = 2.5keywords = closure (Clic here for more details about this article) |
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