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 |
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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. |
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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. After pulmonary artery thrombectomy, the right pulmonary artery was reconstructed and the dilated ascending aorta was replaced.</description><identifier>ISSN: 1747-079X</identifier><identifier>EISSN: 1747-0803</identifier><identifier>DOI: 10.1111/chd.12074</identifier><identifier>PMID: 23648073</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>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</subject><ispartof>Congenital heart disease, 2014-03, Vol.9 (2), p.E58-E60</ispartof><rights>2013 Wiley Periodicals, Inc</rights><rights>2013 Wiley Periodicals, Inc.</rights><rights>Copyright © 2014 Wiley Periodicals, Inc</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3544-3cfc2f7e4cc72f9aafd279b504a27514ed8c17f79ce6c9721017afd2825d3ac33</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fchd.12074$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fchd.12074$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23648073$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Daitoku, Kazuyuki</creatorcontrib><creatorcontrib>Yamauchi, Sanae</creatorcontrib><creatorcontrib>Suzuki, Yasuyuki</creatorcontrib><creatorcontrib>Fukuda, Ikuo</creatorcontrib><title>Right Pulmonary Artery Obstruction Is a Long‐term Complication of Aortopulmonary Window Repair</title><title>Congenital heart disease</title><addtitle>Congenit Heart Dis</addtitle><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.</description><subject>Adult</subject><subject>Adult Congenital Heart Disease</subject><subject>Aorta - abnormalities</subject><subject>Aorta - surgery</subject><subject>Aortic Aneurysm - diagnosis</subject><subject>Aortic Aneurysm - etiology</subject><subject>Aortic Aneurysm - surgery</subject><subject>Arterial Occlusive Diseases - diagnosis</subject><subject>Arterial Occlusive Diseases - etiology</subject><subject>Arterial Occlusive Diseases - surgery</subject><subject>Biopsy</subject><subject>Blood Vessel Prosthesis Implantation</subject><subject>Cardiac Surgical Procedures - adverse effects</subject><subject>Catheters</subject><subject>Constriction, Pathologic</subject><subject>Coronary vessels</subject><subject>Heart Defects, Congenital - diagnosis</subject><subject>Heart Defects, Congenital - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Postoperative Complications</subject><subject>Pulmonary arteries</subject><subject>Pulmonary Artery - abnormalities</subject><subject>Pulmonary Artery - diagnostic imaging</subject><subject>Pulmonary Artery - surgery</subject><subject>Reconstructive Surgical Procedures</subject><subject>Reoperation</subject><subject>Teflon Patch</subject><subject>Thrombectomy</subject><subject>Thrombosis - diagnosis</subject><subject>Thrombosis - etiology</subject><subject>Thrombosis - surgery</subject><subject>Time Factors</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>1747-079X</issn><issn>1747-0803</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkUtOwzAURS0EoqUwYAPIEhMmaf1LnQyr8GmlSkUVCGbGdZw2VRIHJxHqjCWwRlaC098AT96T7tGR7QvANUZ97M5AreI-JoizE9DFnHEPBYieHnYevnfARVWtEWJDyoNz0CF0yALEaRd8zNPlqobPTZabQtoNHNlauzFbVLVtVJ2aAk4qKOHUFMvf7x8X5jAyeZmlSm5Tk8CRsbUpj4q3tIjNF5zrUqb2EpwlMqv01X72wOvjw0s09qazp0k0mnqK-ox5VCWKJFwzpThJQimTmPBw4SMmCfcx03GgME94qPRQhZxghHnLBMSPqVSU9sDdzlta89noqhZ5WimdZbLQpqkEdhLmVJw79PYfujaNLdztWoqExEeoFd7sqWaR61iUNs3d68Th7xww2AFfaaY3xxwj0ZYiXCliW4qIxvfbhf4BoZZ_gQ</recordid><startdate>201403</startdate><enddate>201403</enddate><creator>Daitoku, Kazuyuki</creator><creator>Yamauchi, Sanae</creator><creator>Suzuki, Yasuyuki</creator><creator>Fukuda, Ikuo</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>JQ2</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201403</creationdate><title>Right Pulmonary Artery Obstruction Is a Long‐term Complication of Aortopulmonary Window Repair</title><author>Daitoku, Kazuyuki ; Yamauchi, Sanae ; Suzuki, Yasuyuki ; Fukuda, Ikuo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3544-3cfc2f7e4cc72f9aafd279b504a27514ed8c17f79ce6c9721017afd2825d3ac33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Adult Congenital Heart Disease</topic><topic>Aorta - abnormalities</topic><topic>Aorta - surgery</topic><topic>Aortic Aneurysm - diagnosis</topic><topic>Aortic Aneurysm - etiology</topic><topic>Aortic Aneurysm - surgery</topic><topic>Arterial Occlusive Diseases - diagnosis</topic><topic>Arterial Occlusive Diseases - etiology</topic><topic>Arterial Occlusive Diseases - surgery</topic><topic>Biopsy</topic><topic>Blood Vessel Prosthesis Implantation</topic><topic>Cardiac Surgical Procedures - adverse effects</topic><topic>Catheters</topic><topic>Constriction, Pathologic</topic><topic>Coronary vessels</topic><topic>Heart Defects, Congenital - diagnosis</topic><topic>Heart Defects, Congenital - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Postoperative Complications</topic><topic>Pulmonary arteries</topic><topic>Pulmonary Artery - abnormalities</topic><topic>Pulmonary Artery - diagnostic imaging</topic><topic>Pulmonary Artery - surgery</topic><topic>Reconstructive Surgical Procedures</topic><topic>Reoperation</topic><topic>Teflon Patch</topic><topic>Thrombectomy</topic><topic>Thrombosis - diagnosis</topic><topic>Thrombosis - etiology</topic><topic>Thrombosis - surgery</topic><topic>Time Factors</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Daitoku, Kazuyuki</creatorcontrib><creatorcontrib>Yamauchi, Sanae</creatorcontrib><creatorcontrib>Suzuki, Yasuyuki</creatorcontrib><creatorcontrib>Fukuda, Ikuo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Computer Science Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Congenital heart disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Daitoku, Kazuyuki</au><au>Yamauchi, Sanae</au><au>Suzuki, Yasuyuki</au><au>Fukuda, Ikuo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Right Pulmonary Artery Obstruction Is a Long‐term Complication of Aortopulmonary Window Repair</atitle><jtitle>Congenital heart disease</jtitle><addtitle>Congenit Heart Dis</addtitle><date>2014-03</date><risdate>2014</risdate><volume>9</volume><issue>2</issue><spage>E58</spage><epage>E60</epage><pages>E58-E60</pages><issn>1747-079X</issn><eissn>1747-0803</eissn><abstract>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.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>23648073</pmid><doi>10.1111/chd.12074</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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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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