Right Pulmonary Artery Obstruction Is a Long‐term Complication of Aortopulmonary Window Repair

The early outcomes of transaortic patch repair closure for aortopulmonary window are satisfactory, but the lifelong fate of the aorta and pulmonary artery remains unknown. We describe a 40‐year‐old patient with right pulmonary artery occlusion accompanied by aneurysmal dilation of the ascending aort...

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Veröffentlicht in:Congenital heart disease 2014-03, Vol.9 (2), p.E58-E60
Hauptverfasser: Daitoku, Kazuyuki, Yamauchi, Sanae, Suzuki, Yasuyuki, Fukuda, Ikuo
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container_issue 2
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container_title Congenital heart disease
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creator Daitoku, Kazuyuki
Yamauchi, Sanae
Suzuki, Yasuyuki
Fukuda, Ikuo
description The early outcomes of transaortic patch repair closure for aortopulmonary window are satisfactory, but the lifelong fate of the aorta and pulmonary artery remains unknown. We describe a 40‐year‐old patient with right pulmonary artery occlusion accompanied by aneurysmal dilation of the ascending aorta 38 years after transaortic repair of an aortopulmonary window. Operative findings revealed patch shrinkage and thrombotic occlusion of the right pulmonary artery. The dilated ascending aorta firmly adhered to the right pulmonary artery. After pulmonary artery thrombectomy, the right pulmonary artery was reconstructed and the dilated ascending aorta was replaced.
doi_str_mv 10.1111/chd.12074
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We describe a 40‐year‐old patient with right pulmonary artery occlusion accompanied by aneurysmal dilation of the ascending aorta 38 years after transaortic repair of an aortopulmonary window. Operative findings revealed patch shrinkage and thrombotic occlusion of the right pulmonary artery. The dilated ascending aorta firmly adhered to the right pulmonary artery. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Adult Congenital Heart Disease
Aorta - abnormalities
Aorta - surgery
Aortic Aneurysm - diagnosis
Aortic Aneurysm - etiology
Aortic Aneurysm - surgery
Arterial Occlusive Diseases - diagnosis
Arterial Occlusive Diseases - etiology
Arterial Occlusive Diseases - surgery
Biopsy
Blood Vessel Prosthesis Implantation
Cardiac Surgical Procedures - adverse effects
Catheters
Constriction, Pathologic
Coronary vessels
Heart Defects, Congenital - diagnosis
Heart Defects, Congenital - surgery
Humans
Male
Postoperative Complications
Pulmonary arteries
Pulmonary Artery - abnormalities
Pulmonary Artery - diagnostic imaging
Pulmonary Artery - surgery
Reconstructive Surgical Procedures
Reoperation
Teflon Patch
Thrombectomy
Thrombosis - diagnosis
Thrombosis - etiology
Thrombosis - surgery
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
title Right Pulmonary Artery Obstruction Is a Long‐term Complication of Aortopulmonary Window Repair
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