Hostname: page-component-848d4c4894-5nwft Total loading time: 0 Render date: 2024-04-30T13:37:52.959Z Has data issue: false hasContentIssue false
  • English
  • Français

Profile of aortopulmonary window in India—a study of twenty cases

Published online by Cambridge University Press:  19 August 2008

Robin J. Pinto ,
Ajit R. Bhagwat ,
Yunus S. Loya  and
Satyavan Sharma
Robin J. Pinto
Affiliation:
From the Department of Cardiology, BYL Nair Hospital, Bombay
Ajit R. Bhagwat
Affiliation:
From the Department of Cardiology, BYL Nair Hospital, Bombay
Yunus S. Loya
Affiliation:
From the Department of Cardiology, BYL Nair Hospital, Bombay
Satyavan Sharma*
Affiliation:
From the Department of Cardiology, BYL Nair Hospital, Bombay
*
Dr Satyavan Sharma, Consultant Cardiologist, 104, First Floor, New Wing, Bombay Hospital and Medical Research Centre, 12 Marine Lines, Bombay-400 020, India.
Get access Rights & Permissions [Opens in a new window]

Summary

Twenty cases of aortopulmonary window are reported with special reference to some unusual modes of presentation and hemodynamics. Patients over 15 years of age accounted for 35% of the group. This delayed presentation may relate to referral patterns and socioeconomic conditions prevalent in India. Curiously, this elderly subset had two modes of presentation—either as large left-to-right shunts with low pulmonary vascular resistance (71.4%), or as Eisenmenger's syndrome (28.6%). The reasons for the low pulmonary vascular resistance in the majority of these older patients remain unclear. The echocardiographic features of these defects can be missed in presence of significant associated cardiac lesions. A careful search should, therefore, be made for an additional aortopulmonary window in all cases with evidence of intercirculatory shunting.

Keywords

Aortopulmonaiy windowadulthemodynamics
Type
Original Articles
Information
Cardiology in the Young , Volume 4 , Issue 2 , April 1994 , pp. 142 - 145
Copyright
Copyright © Cambridge University Press 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Cherian, GC, Krishnaswami, S, Sukumar, IP, John, S. Variations in the practice of cardiology: some problems encoun tered in India. In: Yu, PN, Goodwin, JF (eds). Progress in Cardiology. Lea & Febriger, Philadelphia, 1980, pp 147–184.Google Scholar
2.Rice, MJ, Seward, JB, Hagler, DJ, Mair, DD, Tajik, AJ. Visualization aortopulmonary window by two-dimensional echocardiography. Mayo Clin Proc 1982; 57: 482–487.Google ScholarPubMed
3.Mori, K, Ando, M, Jakao, A, Ishikawa, S, Imai, Y. Distal type of aortopulmonary window: report of 4 cases. Br Heart J 1978; 40: 681–689.CrossRefGoogle ScholarPubMed
4.Prasad, TR, Valiathan, MS, Shyamakrishnan, KG, Venkitachalam, CG. Surgical management of aortopulmonary septal defect. Ann Thorac Surg 1989; 47: 877–879.CrossRefGoogle ScholarPubMed
5.Shatapathy, P, Rao, KM. Krishnan, KV. Closure of aortopulmonary septal defect. J Thorac Cardiovasc Surg 1987; 93: 789–791.CrossRefGoogle ScholarPubMed
6.Neufeld, HN, Lesser, RG, Adams, P JrAnderson, RC, Lillehei, CW, Edwards, JE. Aorticopulmonary septal defect. Am J Cardiol 1962; 9: 12–25.CrossRefGoogle ScholarPubMed
7.Blieden, LC, Moller, JH. Aorticopulmonary septal defect. An experience with 17 patients. Br Heart J 1974; 36: 630–635.CrossRefGoogle ScholarPubMed
8.Doty, DB, Richardson, JV, Falkovsky, GE, Gordonova, MI, Burakovsky, VI. Aortopulmonary septal defect: haemodynamics, angiography and operation. Ann Thorac Surg 1981; 32: 244–250.CrossRefGoogle ScholarPubMed
9.Morrow, AG, Greenfield, LJ, Braunwald, E. Congenital aortopulmonary septal defect. Clinical and hemodynamic findings, surgical technique and results of operative correction. Circulation 1962; 25: 463–476.CrossRefGoogle Scholar
10.Mair, DD, Edwards, WD, Fuster, V, Seward, JB, Danielson, GK. Truncus arteriosus and aortopulmonary window. In: Anderson, RH, Shinebourne, EA, Macartney, FJ, Tynan, M (eds). Pediatric Cardiology. Churchill Livingstone, Edinburgh, 1987, pp 913–929.Google Scholar
11.Cherian, GC, Uthaman, CB, Durairaj, M, Sukumar, IP, Krishnaswami, S, Jairaj, PS, John, S, Krishnaswami, H, Bhaktaviziam, A. Pulmonary hypertension in isolated secundum atrial septal defect: High frequency in young patients. Am Heart J 1983; 105: 952–957.CrossRefGoogle ScholarPubMed
12.Kutsche, LM, Van Mierop, LHS. Anatomy and pathogenesis of aorticopulmonary septal defect. Am J Cardiol 1987; 59: 443–447.CrossRefGoogle ScholarPubMed
13.Faulkner, SL, Oldham, RR, Atwood, GF, Graham, TP JrAortopulmonary window, ventricular septal defect and membranous pulmonary atresia with a diagnosis of truncus arteriosus. Chest 1974; 65: 351–353.CrossRefGoogle ScholarPubMed
14.Shore, DF, Ho, SY, Anderson, RH, de Leval, M, Lincoln, C. Aortopulmonary septal defect coexisting with ventricular septal defect and pulmonary atresia. Ann Thorac Surgery 1983; 35: 132–137.CrossRefGoogle ScholarPubMed
15.Balaji, S, Burch, M, Sullivan, ID. Accuracy of cross-sectional echocardiography in diagnosis of aortopulmonary window. Am J Cardiol 1991; 67: 650–653.CrossRefGoogle ScholarPubMed