Aortopulmonary window--impact of associated lesions on surgical results
The aortopulmonary window (APW) is a communication between the pulmonary artery (PA) and the ascending aorta in the presence of two separate semilunar valves. This review describes the natural history of the APW and the impact of associated defects on surgical results in patients treated at our inst...
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Veröffentlicht in: | Arquivos brasileiros de cardiologia 2007-04, Vol.88 (4), p.402-407 |
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container_title | Arquivos brasileiros de cardiologia |
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creator | Gangana, Cinthia Siqueira Malheiros, Ana Flávia de Araújo Alves, Elizabete Vilar de Azevedo, Maurício Amir Bernardes, Renata Moll Simões, Luiz Carlos |
description | The aortopulmonary window (APW) is a communication between the pulmonary artery (PA) and the ascending aorta in the presence of two separate semilunar valves. This review describes the natural history of the APW and the impact of associated defects on surgical results in patients treated at our institution.
Retrospective longitudinal study, based on the review of medical files of patients diagnosed between 1995 and 2005.
Of nine patients diagnosed as having APW, six had associated lesions. Seven patients were submitted to surgical treatment with two deaths. One patient was not submitted to surgery due to pulmonary hypertension and another one died before the surgery due to a respiratory infection complication.
The surgical results are satisfactory when the APW presents as an isolated defect and when surgery is performed early, preventing the development of irreversible arterial pulmonary hypertension (APH). The presence of associated complex congenital heart disease is a bad prognostic factor in our series. |
doi_str_mv | 10.1590/S0066-782X2007000400006 |
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Retrospective longitudinal study, based on the review of medical files of patients diagnosed between 1995 and 2005.
Of nine patients diagnosed as having APW, six had associated lesions. Seven patients were submitted to surgical treatment with two deaths. One patient was not submitted to surgery due to pulmonary hypertension and another one died before the surgery due to a respiratory infection complication.
The surgical results are satisfactory when the APW presents as an isolated defect and when surgery is performed early, preventing the development of irreversible arterial pulmonary hypertension (APH). The presence of associated complex congenital heart disease is a bad prognostic factor in our series.</description><identifier>EISSN: 1678-4170</identifier><identifier>DOI: 10.1590/S0066-782X2007000400006</identifier><identifier>PMID: 17546268</identifier><language>eng ; por</language><publisher>Brazil</publisher><subject>Adolescent ; Aortopulmonary Septal Defect - diagnosis ; Aortopulmonary Septal Defect - surgery ; Child ; Child, Preschool ; Female ; Humans ; Infant ; Infant, Newborn ; Longitudinal Studies ; Male ; Prognosis ; Retrospective Studies ; Treatment Outcome</subject><ispartof>Arquivos brasileiros de cardiologia, 2007-04, Vol.88 (4), p.402-407</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17546268$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gangana, Cinthia Siqueira</creatorcontrib><creatorcontrib>Malheiros, Ana Flávia de Araújo</creatorcontrib><creatorcontrib>Alves, Elizabete Vilar</creatorcontrib><creatorcontrib>de Azevedo, Maurício Amir</creatorcontrib><creatorcontrib>Bernardes, Renata Moll</creatorcontrib><creatorcontrib>Simões, Luiz Carlos</creatorcontrib><title>Aortopulmonary window--impact of associated lesions on surgical results</title><title>Arquivos brasileiros de cardiologia</title><addtitle>Arq Bras Cardiol</addtitle><description>The aortopulmonary window (APW) is a communication between the pulmonary artery (PA) and the ascending aorta in the presence of two separate semilunar valves. This review describes the natural history of the APW and the impact of associated defects on surgical results in patients treated at our institution.
Retrospective longitudinal study, based on the review of medical files of patients diagnosed between 1995 and 2005.
Of nine patients diagnosed as having APW, six had associated lesions. Seven patients were submitted to surgical treatment with two deaths. One patient was not submitted to surgery due to pulmonary hypertension and another one died before the surgery due to a respiratory infection complication.
The surgical results are satisfactory when the APW presents as an isolated defect and when surgery is performed early, preventing the development of irreversible arterial pulmonary hypertension (APH). The presence of associated complex congenital heart disease is a bad prognostic factor in our series.</description><subject>Adolescent</subject><subject>Aortopulmonary Septal Defect - diagnosis</subject><subject>Aortopulmonary Septal Defect - surgery</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><issn>1678-4170</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j81KxDAYRYMgzjj6CpqVu-iXpEna5TDoKAy4UMFdyV8lkjY1aRl8ewvq4nI3h8s9CF1TuKWigbsXACmJqtk7A1AAUC0BeYLWVKqaVFTBCp2X8gnAmOLiDK2oEpVksl6j_TblKY1z7NOg8zc-hsGlIyGhH7WdcOqwLiXZoCfvcPQlpKHgNOAy549gdcTZlzlO5QKddjoWf_nXG_T2cP-6eySH5_3TbnsgI-XNRKilsjHc1NzXkmknqLbSOuiEMMslIZkzTBguGqOtMl5r7Q1lrhK8o40VfINufnfHnL5mX6a2D8X6GPXg01xaBUItxs0CXv2Bs-m9a8cc-kWw_VfnP-z0XCk</recordid><startdate>200704</startdate><enddate>200704</enddate><creator>Gangana, Cinthia Siqueira</creator><creator>Malheiros, Ana Flávia de Araújo</creator><creator>Alves, Elizabete Vilar</creator><creator>de Azevedo, Maurício Amir</creator><creator>Bernardes, Renata Moll</creator><creator>Simões, Luiz Carlos</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200704</creationdate><title>Aortopulmonary window--impact of associated lesions on surgical results</title><author>Gangana, Cinthia Siqueira ; Malheiros, Ana Flávia de Araújo ; Alves, Elizabete Vilar ; de Azevedo, Maurício Amir ; Bernardes, Renata Moll ; Simões, Luiz Carlos</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p139t-1c169b3b83e862ad51ac6cd0f55b546562db25b359bac7beaaaeb12d453f19c53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; por</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>Aortopulmonary Septal Defect - diagnosis</topic><topic>Aortopulmonary Septal Defect - surgery</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gangana, Cinthia Siqueira</creatorcontrib><creatorcontrib>Malheiros, Ana Flávia de Araújo</creatorcontrib><creatorcontrib>Alves, Elizabete Vilar</creatorcontrib><creatorcontrib>de Azevedo, Maurício Amir</creatorcontrib><creatorcontrib>Bernardes, Renata Moll</creatorcontrib><creatorcontrib>Simões, Luiz Carlos</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Arquivos brasileiros de cardiologia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gangana, Cinthia Siqueira</au><au>Malheiros, Ana Flávia de Araújo</au><au>Alves, Elizabete Vilar</au><au>de Azevedo, Maurício Amir</au><au>Bernardes, Renata Moll</au><au>Simões, Luiz Carlos</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Aortopulmonary window--impact of associated lesions on surgical results</atitle><jtitle>Arquivos brasileiros de cardiologia</jtitle><addtitle>Arq Bras Cardiol</addtitle><date>2007-04</date><risdate>2007</risdate><volume>88</volume><issue>4</issue><spage>402</spage><epage>407</epage><pages>402-407</pages><eissn>1678-4170</eissn><abstract>The aortopulmonary window (APW) is a communication between the pulmonary artery (PA) and the ascending aorta in the presence of two separate semilunar valves. This review describes the natural history of the APW and the impact of associated defects on surgical results in patients treated at our institution.
Retrospective longitudinal study, based on the review of medical files of patients diagnosed between 1995 and 2005.
Of nine patients diagnosed as having APW, six had associated lesions. Seven patients were submitted to surgical treatment with two deaths. One patient was not submitted to surgery due to pulmonary hypertension and another one died before the surgery due to a respiratory infection complication.
The surgical results are satisfactory when the APW presents as an isolated defect and when surgery is performed early, preventing the development of irreversible arterial pulmonary hypertension (APH). The presence of associated complex congenital heart disease is a bad prognostic factor in our series.</abstract><cop>Brazil</cop><pmid>17546268</pmid><doi>10.1590/S0066-782X2007000400006</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; EZB Free E-Journals; DOAJ Directory of Open Access Journals; Alma/SFX Local Collection |
subjects | Adolescent Aortopulmonary Septal Defect - diagnosis Aortopulmonary Septal Defect - surgery Child Child, Preschool Female Humans Infant Infant, Newborn Longitudinal Studies Male Prognosis Retrospective Studies Treatment Outcome |
title | Aortopulmonary window--impact of associated lesions on surgical results |
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