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Aortopulmonary Window Surgery

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Valentine on a crab-Type A interrupted aortic arch with type 2 aortopulmonary window.

Sai Suraj Kotera, Arun Gopalakrishnan, Javid Raja, Sivasankaran Sivasubramonian, Sabarinath Menon,

A 10-day-old infant was evaluated for heart failure and differential cyanosis. Type A interrupted aortic arch with duct-dependent lower body circulation was identified. There was associated type 2 aortopulmonary window which led to a "Valentine on a crab" appearance on echocardiography. Pattern recognition in imaging is useful for early identification ... Read more >>

Echocardiography (Echocardiography (Mount Kisco, N.Y.))
[2020, 37(3):474-475]

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Transcatheter closure of aortopulmonary window with Amplatzer duct occluder II: additional size.

Tayfun Uçar, Selen Karagözlü, Mehmet G Ramoğlu, Ercan Tutar,

Aortopulmonary window is a rare cardiac defect, and early management with surgery or transcatheter closure is lifesaving. Here, a 9-month-old patient, who underwent a successful device closure with additional size-Amplatzer duct occlude, is presented to make emphasis that it may be considered as the device of choice for defects in ... Read more >>

Cardiol Young (Cardiology in the young)
[2020, 30(3):424-426]

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Surgical repair for aortopulmonary window with interrupted aortic arch in late childhood.

Sachin Talwar, Niwin George, Saurabh K Gupta, Shiv K Choudhary,

Aortopulmonary window with interrupted aortic arch is rarely reported beyond infancy. Pre-operative assessment and surgical repair are challenging. We report successful surgical repair of aortopulmonary window with interrupted aortic arch in a 6-year-old girl with near-normal pulmonary artery pressure immediately following surgery. ... Read more >>

Cardiol Young (Cardiology in the young)
[2020, :1-4]

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Relapse of aortopulmonary window 41 years after patch closure.

Yuichiro Fukumoto, Soh Hosoba, Sho Takagi, Yoshihiro Goto,

In this study, we describe a rare case of a 45-year-old man with a recurrence of aortopulmonary window (APW) 41 years after the initial patch closure for an APW at the age of 4. He presented with persistent cough and exertional dyspnoea. Imagings revealed a recurrence of APW, ascending aorta saccular ... Read more >>

Eur J Cardiothorac Surg (European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery)
[2019, :]

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Fetal aortopulmonary window associated with urorectal malformation and common cloaca.

Mamatha Gowda, Monica Reddy, Devika Ramesh, Srivatsa Prasad,

Clin. Dysmorphol. (Clinical dysmorphology)
[2020, 29(1):38-41]

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Remarkably Still Repairable Large Aortopulmonary Window in an Adult Patient.

Panagiotis M Zografos, Eleftherios M Protopapas, Nikolaos I Hakim, Chrysanthos Alexopoulos, George E Sarris,

Aortopulmonary window (APW) is an abnormal congenital connection between the main pulmonary artery (MPA) and the ascending aorta, with intact aortic and pulmonary valves, leading to heart failure or, if not repaired early, to pulmonary vascular obstructive disease. We report the rare case of an asymptomatic adult with an unrestrictive ... Read more >>

World J Pediatr Congenit Heart Surg (World journal for pediatric & congenital heart surgery)
[2020, 11(1):117-119]

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Aortopulmonary Window With Pulmonary Atresia and Interrupted Aortic Arch: A Very Rare Triad.

Doaa A Shahbah, Nicole L Herrick, Howaida El-Said, John Lamberti, Raghav Murthy,

Aortopulmonary window (APW) is a rare lesion, accounting for 0.2% to 0.6% of all congenital heart diseases. We report a rare case of an infant with APW, interrupted aortic arch, and pulmonary atresia with intact interventricular septum and right ventricle-dependent coronary circulation. This report describes the anatomy of this lesion ... Read more >>

World J Pediatr Congenit Heart Surg (World journal for pediatric & congenital heart surgery)
[2019, 10(6):791-792]

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Isolated persistence of the fifth aortic arch in an infant presenting with congestive heart failure.

Giovanni Meliota, Maristella Lombardi, Pierluigi Zaza, Maria Rosaria Tagliente, Paolo Versacci, Gabriele Scalzo, Ugo Vairo,

The persistence of the fifth aortic arch (PFAA) in postnatal life is an extremely rare and controversial cardiovascular malformation. PFAA is defined as an extra-pericardial vessel arising from the ascending aorta proximal to the origin of the brachiocephalic arteries, terminating either in the dorsal aorta or in the pulmonary arteries ... Read more >>

Ann Pediatr Cardiol (Annals of pediatric cardiology)
[2020, 13(1):91-94]

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An aberrant patent ductus arteriosus mimicking aortopulmonary window.

Hassan Aghajani, Reza Mohseni-Badalabadi, Ali Hosseinsabet, Khalil Forozannia,

Turk Kardiyol Dern Ars (Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir)
[2019, 47(8):711]

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Unraveling the role of ectopic thymic tissue in patients undergoing thymectomy for myasthenia gravis.

Feng Li, Ya Tao, Gero Bauer, Aron Elsner, Zhongmin Li, Marc Swierzy, Julianna Englisch, Andreas Meisel, Mahmoud Ismail, Jens-C Rückert,

Extended thymectomy has been considered the goal of surgery for myasthenia gravis (MG) mainly due to the existence of ectopic thymic tissue. Recently, ectopic thymic tissue has attracted increasing attention in patients with MG following thymectomy. However, the specific role of ectopic thymic tissue in patients with MG is still ... Read more >>

J Thorac Dis (Journal of Thoracic Disease)
[2019, 11(9):4039-4048]

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

Hong Ju Shin, Younggi Jung, Jae Seung Shin,

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 ... Read more >>

Korean J Thorac Cardiovasc Surg (The Korean journal of thoracic and cardiovascular surgery)
[2019, 52(4):236-238]

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Current era outcomes of pulmonary atresia with ventricular septal defect: A single center cohort in Thailand.

Kanthalas Lertsakulpiriya, Chodchanok Vijarnsorn, Prakul Chanthong, Paweena Chungsomprasong, Supaluck Kanjanauthai, Kritvikrom Durongpisitkul, Jarupim Soongswang, Thaworn Subtaweesin, Somchai Sriyoschati,

Pulmonary atresia with ventricular septal defect (PA/VSD) is a complex cyanotic congenital heart disease with a wide-range of presentations and treatment strategies, depending on the source of pulmonary circulation, anatomy of pulmonary arteries (PAs), and major aortopulmonary collateral arteries (MAPCAs). Data about the outcomes in developing countries is scarce. We ... Read more >>

Sci Rep (Scientific reports)
[2020, 10(1):5165]

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Patient-Specific 3-Dimensional-Bioprinted Model for In Vitro Analysis and Treatment Planning of Pulmonary Artery Atresia in Tetralogy of Fallot and Major Aortopulmonary Collateral Arteries.

Martin L Tomov, Alexander Cetnar, Katherine Do, Holly Bauser-Heaton, Vahid Serpooshan,

Background Tetralogy of Fallot with major aortopulmonary collateral arteries is a heterogeneous form of pulmonary artery (PA) stenosis that requires multiple forms of intervention. We present a patient-specific in vitro platform capable of sustained flow that can be used to train proceduralists and surgical teams in current interventions, as well as ... Read more >>

J Am Heart Assoc (Journal of the American Heart Association)
[2019, 8(24):e014490]

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Analysis of sternal healing after median sternotomy in low risk patients at midterm follow-up: retrospective cohort study from two centres.

Bin Wang, Dapu He, Min Wang, Yongxiang Qian, Youran Lu, Xinping Shi, Yang Liu, Xianghong Zhan, Dongmei Di, Kai Zhu, Xiaoying Zhang,

BACKGROUND:For low risk patients undergoing median sternotomies, no midterm follow-up studies involving sternal healing have been conducted. In this study we evaluated sternal healing in low risk patients by chest CT scan and the risk factors associated with poor healing were analyzed. METHODS:Patients who underwent sternal median incision heart surgery ... Read more >>

J Cardiothorac Surg (Journal of cardiothoracic surgery)
[2019, 14(1):193]

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Squamous Cell Carcinoma in the Post Tuberculosis Lung after 30 Years of Treatment Completion.

Arulprashanth Arulanantham, Umesh Jayarajah, Rohitha Dharmasiri, Rasarathinam Jeyanthakumar, Kamila Niroshan Siriwardena, Sujeewa Ilangamge,

Pulmonary tuberculosis (TB) and lung cancer are becoming increasingly prevalent especially in developing countries. The occurrence of lung cancer after 30 years of completed pulmonary TB treatment is rare. We report a rare occurrence of a squamous cell carcinoma (SCC) in the post TB lung after 30 years of completed ... Read more >>

Case Rep Surg (Case reports in surgery)
[2020, 2020:8570212]

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Aortopulmonary window in adults: A rare entity leading to Eisenmenger syndrome.

Joud El Dick, Issam El-Rassi, Christelle Tayeh, Fadi Bitar, Mariam Arabi,

An aortopulmonary window (APW) is a rare congenital heart defect involving an abnormal communication between the ascending aorta and the pulmonary trunk with separate aortic and pulmonary valves. This defect accounts for 0.2% of all congenital cardiac anomalies and if left untreated can lead to Eisenmenger syndrome, severe pulmonary hypertension, ... Read more >>

Echocardiography (Echocardiography (Mount Kisco, N.Y.))
[2019, 36(6):1173-1178]

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Newborn girl with coarctation of the aorta and anomalous left coronary artery from pulmonary artery, with retrograde perfusion of left circumflex artery: a case report.

Martin Hölscher, Walter Knirsch, Hitendu Dave, Barbara E U Burkhardt,

Background:Anomalous left coronary artery from pulmonary artery (ALCAPA) is a rare coronary abnormality. Although it exists usually as an isolated abnormality, ALCAPA has been described with aortic pathologies like coarctation or aortopulmonary window. Case summary:An 18-day-old female was admitted to the paediatric intensive care unit because of a heart murmur ... Read more >>

Eur Heart J Case Rep (European Heart Journal: Case Reports)
[2019, 3(4):1-4]

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From Reactive Lymphadenopathy to Systemic Vasculitis, the Importance of Providing Sufficient Clinical Information to Optimize Pathological Interpretation, a Case Report.

Neda Soleimani, Maral Mokhtari, Sahand Mohammadzadeh,

Introduction:Pathology must aim at a correct diagnosis, which is complete and useful for clinicians. However, in routine practice, there are multiple sources of errors in the pathology results, which have several impacts on the patient's treatment and outcome. Case presentation:Our patient is a 66 years old man, case of rheumatoid ... Read more >>

Int Med Case Rep J (International medical case reports journal)
[2020, 13:1-5]

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Surgical outcome in aortopulmonary window beyond the neonatal period.

Vikas Kumar, Rana S Singh, Shyam K S Thingnam, Anand K Mishra, Vivek Jaswal,

OBJECTIVE:Aortopulmonary window (APW) is a rare congenital cardiac defect accounting for 0.1% to 0.2% of all congenital cardiac defects. We here present the current midterm outcome of surgical repair of APW in patients more than 3 months of age. METHODS:The retrospective study was conducted to identify all the patients more ... Read more >>

J Card Surg (Journal of cardiac surgery)
[2019, 34(5):300-304]

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Outcomes After Aortopulmonary Window for Hypoplastic Pulmonary Arteries and Dual-Supply Collaterals.

Holly Bauser-Heaton, Michael Ma, Doff B McElhinney, William R Goodyer, Yulin Zhang, Frandics P Chan, Ritu Asija, Jennifer Shek, Lisa Wise-Faberowski, Frank L Hanley,

BACKGROUND:Our institutional approach to tetralogy of Fallot with major aortopulmonary collateral arteries (MAPCAs) emphasizes early unifocalization and complete repair (CR). In the small subset of patients with dual-supply MAPCAs and confluent but hypoplastic central pulmonary arteries (PAs), our surgical approach is early creation of an aortopulmonary window (APW) to promote ... Read more >>

Ann. Thorac. Surg. (The Annals of thoracic surgery)
[2019, 108(3):820-827]

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Assessment of intracardiac and extracardiac anomalies associated with coarctation of aorta and interrupted aortic arch using dual-source computed tomography.

Qin Zhao, Jin Wang, Zhi-Gang Yang, Ke Shi, Kai-Yue Diao, Shan Huang, Meng-Ting Shen, Ying-Kun Guo,

To evaluate the value of dual-source computed tomography (DSCT) compared with transthoracic echocardiography (TTE) in assessing intracardiac and extracardiac anomalies in patients with coarctation of aorta (CoA) and interrupted aortic arch (IAA). Seventy-five patients (63 with CoA and 12 with IAA) who received preoperative DSCT and TTE were retrospectively studied. ... Read more >>

Sci Rep (Scientific reports)
[2019, 9(1):11656]

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Anomalous aortic origin of the pulmonary arteries: Case series and literature review.

Salvatore Agati, Carlos Guerra Sousa, Felice Davide Calvaruso, Rosanna Zanai, Ivana Campanella, Daniela Poli, Alfredo Di Pino, Luca Borro, Fiore Salvatore Iorio, Massimiliano Raponi, Robert H Anderson, Simone Reali, Andrea De Zorzi, Aurelio Secinaro,

Anomalous origin of the pulmonary arteries from the ascending aorta is a rare, but severe clinical entity necessitating a scrupulous evaluation. Either the right or the left pulmonary arteries can arise directly from the ascending aorta while the other pulmonary artery retains its origin from the right ventricular outflow tract. ... Read more >>

Ann Pediatr Cardiol (Annals of pediatric cardiology)
[2019, 12(3):248-253]

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Minimally invasive robotic-assisted excision of an aortopulmonary mediastinal paraganglioma.

Gregory A Wasserman, Amie J Kent, Richard S Lazzaro, Byron D Patton,

Aortopulmonary paragangliomas are rare, neural crest-derived tumours that arise in the aortopulmonary window and present a significant surgical challenge due to their proximity to major vessels. In the relatively few cases reported in the study, thoracotomy and video-assisted thorascopic surgery (VATS) approaches have been utilized for the treatment of such ... Read more >>

Eur J Cardiothorac Surg (European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery)
[2019, 55(5):1012-1014]

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Long-Term Assessment of Left Ventricular Ejection Fraction and Mitral Regurgitation Following Takeuchi Repair.

Gökmen Akkaya, Çağatay Bilen, Osman Nuri Tuncer, Mehmet Fatih Ayık, Yüksel Atay,

OBJECTIVE:This study aimed to evaluate the early operative outcomes and to compare the left ventricle and mitral valve functions after initial Takeuchi repair in patients with anomalous left coronary arising from pulmonary artery (ALCAPA). METHODS:Fourteen patients (5 males, 9 females; mean age 4.3 years, ranging from 25 days to 34 ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, 34(6):687-693]

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Video-assisted thoracoscopic surgery for ectopic mediastinal parathyroid adenoma.

K E Isaacs, S Belete, B J Miller, A N Di Marco, S Kirby, T Barwick, N S Tolley, J R Anderson, F F Palazzo,

Background:Primary hyperparathyroidism (PHPT), caused by an ectopic mediastinal parathyroid adenoma, is uncommon. In the past, when the adenoma was not accessible from the neck, median sternotomy was advocated for safe and successful parathyroidectomy. Video-assisted thoracoscopic surgical (VATS) parathyroidectomy represents a modern alternative approach to this problem. Methods:Information on patients undergoing ... Read more >>

BJS Open (BJS open)
[2019, 3(6):743-749]

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