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Case Reports
. 2017 Oct-Dec;27(4):143-144.
doi: 10.4103/jcecho.jcecho_12_17.

Aortopulmonary Window with Crisscross Pulmonary Arteries: Anatomically Type 1, Physiologically Type 2

Neeraj Awasthy  1 , S Ahmad Jawid  1
Affiliations
Case Reports

Aortopulmonary Window with Crisscross Pulmonary Arteries: Anatomically Type 1, Physiologically Type 2

Neeraj Awasthy et al. J Cardiovasc Echogr. 2017 Oct-Dec.

Abstract

Aortopulmonary window (APW) is a rare congenital anomaly. We report an association of APW with crisscross pulmonary arteries (hitherto unreported) in a 6-month-old child. There was differential flow to the right pulmonary artery was evident by the chest X-ray. We discuss the pathophysiology of the differential pulmonary blood flow in a case of APW.

Keywords: Aortopulmonary window; chest X-ray; differential pulmonary blood flow; types of AP window.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Chest X-ray aortopulmonary view in the case of aortopulmonary window showing differential lung flow (marked by arrow)
Figure 2
Figure 2
Transthoracic echocardiography with colour compare in parasternal short axis view showing with nonrestricted aortopulmonary window, with selective blood flow to the right pulmonary artery. MPA: Main pulmonary artery, RPA: Right pulmonary artery, LPA: Left pulmonary artery, AA: Ascending aorta, APW: Aortopulmonary window
Figure 3
Figure 3
Transthoracic echocardiography with colour compare in parasternal short axis view showing the blood flow from the main pulmonary artery getting selective shunted to left lung. The right pulmonary artery and the aortopulmonary window cannot be demonstrated in this view because of the crisscross pulmonary arteries. MPA: Main pulmonary artery, RPA: Right pulmonary artery, LPA: Left pulmonary artery, AA: Ascending aorta
See this image and copyright information in PMC

References

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