SURGICAL MANAGEMENT IN WIDE AORTOPULMONARY WINDOW: CASE REPORT

Gürkan Çetin; Murat Mert; Ahmet Özkara; Özge Köner; Levent Saltık

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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