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SURGICAL MANAGEMENT IN WIDE AORTOPULMONARY WINDOW: CASE REPORT
SURGICAL MANAGEMENT IN WIDE AORTOPULMONARY WINDOW: CASE REPORT
Gürkan Çetin1, Murat Mert1, Ahmet Özkara1, Özge Köner2, Levent Saltık3
1İstanbul Üniversitesi Kardiyoloji Enstitüsü, Kalp Damar Cerrahisi Kliniği, İstanbul
2İstanbul Üniversitesi Kardiyoloji Enstitüsü, Anesteziyoloji ve Reanimasyon Kliniği, İstanbul
3İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Pediyatrik Kardiyoloji Ana Bilim Dalı, İstanbul
Aortopulmonary window is a communication between main pulmonary artery and ascending aorta in the presence of two separate semilunar valves. Due to rapid development of irreversible pulmonary vascular disease, malformation should be repaired when diagnosed, preferably before three months of age. In older patients outcome is determined by pulmonary vascular resistance at time of surgical repair. When total pulmonary vascular resistance at time of intervention is less than 8 U/m2 , the early and long term results are optimal. In this paper we demonstraded our 11 year old patient who was operated in our clinic successfully.
Keywords : Aortopulmonary window, pulmonary vascular resistance, conjenital cardiac anormaly
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