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Surgical management of aortopulmonary window with pulmonary artery dilatation causing left main coronary compression

Part of: Surgery

Published online by Cambridge University Press:  15 April 2021

Anand Kumar Mishra
Affiliation:
Department of Cardiothoracic and Vascular Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Sanjeev Hanumantacharya Naganur
Affiliation:
Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Vidur Bansal*
Affiliation:
Department of Cardiothoracic and Vascular Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Pratyaksha Rana
Affiliation:
Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, India
*
Author for correspondence: Dr Vidur Bansal, Department of Cardiothoracic and Vascular Surgery, PGIMER, Chandigarh160012, India. Tel: +919650659663; Fax: 0172-2745078. E-mail: [email protected]

Abstract

Aortopulmonary window is a rare congenital heart defect. Left main coronary artery extrinsic compression by an enlarged pulmonary artery is a rare complication and a potential cause for chest pain and sudden cardiac death in patients with pulmonary hypertension. Here, we present the case of a 14-year-old boy with a large aortopulmonary window who was planned for a device closure, but during the procedure, he developed ST-T segment changes while the device was being deployed, and hence the procedure was abandoned. The boy subsequently underwent a successful surgical closure thereafter.

Type
Brief Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Backer, CL, Marauds C: surgical management of aortopulmonary window: A 40-year experience. Eur J Cardiothorac Surg 2002; 21: 773779.10.1016/S1010-7940(02)00056-8CrossRefGoogle Scholar
Aggarwal, SK, Mishra, J, Sai, V, et al. Aortopulmonary window in adults: diagnosis and treatment of late- presenting patients. Congenital Heart Dis 2008; 3: 341346.10.1111/j.1747-0803.2008.00210.xCrossRefGoogle ScholarPubMed
Kothari, SS. Pediatric cardiac care for the economically disadvantaged in India: problems and prospects. Ann Pediatr Cardiol 2009; 2: 9598.CrossRefGoogle ScholarPubMed
Mesquita, SM, Castro, CR, Ikari, NM, Oliveira, SA, Lopes, AA. Likelihood of left main coronary artery compression based on pulmonary trunk diameter in patients with pulmonary hypertension. Am J Med 2004; 116: 369374.CrossRefGoogle ScholarPubMed
Pina, Y, Exaire, JE, Sandoval, J. Left main coronary artery extrinsic compression syndrome: a combined intravascular ultrasound and pressure wire. J Invasive Cardiol 2006; 18: E102E104.Google ScholarPubMed
Trehan, V, Nigam, A, Tyagi, S. Percutaneous closure of nonrestrictive aortopulmonary window in three infants. Catheter Cardiovasc Interv 2008; 71: 405411.10.1002/ccd.21366CrossRefGoogle ScholarPubMed