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Case Reports
. 2021 Jan 13;29(1):101-104.
doi: 10.5606/tgkdc.dergisi.2021.20988. eCollection 2021 Jan.

Transcatheter closure of the aortopulmonary window in a three-month-old infant with a symmetric membranous ventricular septal defect occluder device

Ayşe Yıldırım  1 , Abdullah Erdem  2 , Aysu Türkmen Karaağaç  3
Affiliations
Case Reports

Transcatheter closure of the aortopulmonary window in a three-month-old infant with a symmetric membranous ventricular septal defect occluder device

Ayşe Yıldırım et al. Turk Gogus Kalp Damar Cerrahisi Derg. .

Abstract

Although most of aortopulmonary window cases are closed surgically, percutaneous closure can be also used in suitable patients. Defects which are far from the pulmonary and aortic valves, coronary artery, and pulmonary artery bifurcation, with adequate septal rims are considered suitable for percutaneous closure. A three-month-old male infant weighing 4 kg was referred to our pediatric cardiology department with the complaints of fatigue while breastfeeding, difficulty in weight gain, heart murmur, and respiratory distress. A large aortopulmonary window (5.3 mm) and left heart chamber dilatation were detected on echocardiography. The large aortopulmonary window was closed using a symmetric membranous ventricular septal defect occluder device. The closure procedure was performed via the antegrade route without forming an arteriovenous loop. In conclusion, the use of a symmetric membranous ventricular septal defect device for closure of large aortopulmonary window seems to be a safe and effective alternative to surgery in selected infants.

Keywords: Aortopulmonary window; heart failure; infant; transcatheter closure.

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Conflict of interest statement

Conflict of Interest: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Figures

Figure 1
Figure 1. An echocardiographic view showing aorta and pulmonary artery and centrally located aortopulmonary window. A: Aorta; P: Pulmonary artery; APW: Aortopulmonary window.
Figure 2
Figure 2. Control aortography before device releasing. The device position is correct, and no residual shunt and protrusion into vessels are seen.
See this image and copyright information in PMC

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