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Case Reports
. 2016 May-Aug;9(2):167-9.
doi: 10.4103/0974-2069.180673.

Complex aortopulmonary window in a single ventricle setting: Technical considerations for staged palliation

Affiliations
Case Reports

Complex aortopulmonary window in a single ventricle setting: Technical considerations for staged palliation

Gananjay G Salve et al. Ann Pediatr Cardiol. 2016 May-Aug.

Abstract

We report a successful surgical management of a case presented with a combination of aortopulmonary window (APW) with large ventricular septal defect (VSD) amounting to a single ventricle, with a view to highlight technical considerations during staged single-ventricle palliation.

Keywords: Aortopulmonary window (APW); congenital heart disease; single ventricle.

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Figures

Figure 1
Figure 1
Subcostal four-chamber view in two-dimensional and color compare, showing a large ventricular septal defect (arrow) amounting to a near single ventricular morphology
Figure 2
Figure 2
Parasternal short axis view in two-dimensional and color compare, showing a large distal aortopulmonary window (arrow) near the origin of the right pulmonary artery (RPA) Ao = Aorta, PA = Main pulmonary artery
Figure 3
Figure 3
Postoperative parasternal short axis view in two-dimensional and color compare, showing the pulmonary artery band in position (arrow) with flow turbulence across it. There is no residual aortopulmonary shunt (bold arrow) and no obstruction to the flow in the right pulmonary artery (RPA)

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