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Aorta pulmonary window

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https://www.readbyqxmd.com/read/28465980/transesophageal-echocardiography-in-a-distal-aortopulmonary-window
#1
Subramanian Chellappan, Ashish Katewa, Yogesh C Sathe
Aortopulmonary window (APW) is a relatively rare cardiac lesion representing approximately 0.2%-0.4% of all cardiac malformation. It is a cardiac abnormality that results from abnormal communication between the proximal aorta and the main pulmonary artery in the presence of two normally separated aortic and pulmonary valves. In the past, the diagnostic and surgical approach to APW was almost always preceded by cardiac catheterization. With recent advances in noninvasive approach and techniques of two-dimensional echocardiography diagnosis of the defect and associated anomalies are facilitated without a cath study...
October 2016: Journal of Cardiovascular Echography
https://www.readbyqxmd.com/read/28393388/prenatal-diagnosis-of-aortopulmonary-window-a-case-series-and-literature-review
#2
Fuanglada Tongprasert, Rekwan Sittiwangkul, Phudit Jatavan, Theera Tongsong
Aortopulmonary window (APW) is a rare congenital heart defect, characterized by a connection between the ascending aorta and the pulmonary trunk before bifurcation. Prenatal diagnosis of APW is essential, as a surgical correction early after birth is required in most cases to prevent congestive heart failure secondary to high pulmonary blood flow. We report a series of three cases of APW that were detected by prenatal echocardiography. The key feature of diagnosis is demonstration of connection between the pulmonary artery and the aorta above the level of the two semilunar valves...
April 10, 2017: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/28300009/prenatal-diagnosis-of-aortopulmonary-window-associated-with-aberrant-subclavian-artery
#3
Adetola F Louis-Jacques, Sarah Obican, Thieu Nguyen, Anthony Odibo
Aortopulmonary window is a rare cardiac developmental anomaly characterised by a communication between the ascending aorta and the pulmonary artery. Aortopulmonary window may be isolated or associated with cardiac defects such as ventricular septal defect, atrial septal defect, interrupted aortic arch, and tetralogy of Fallot. We report a case of aortopulmonary window associated with aberrant subclavian artery based on fetal two-dimensional echocardiogram. The mother was referred for fetal echocardiography because of multiple fetal anomalies...
March 16, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28139013/aortopulmonary-window-morphology-diagnosis-and-long-term-results
#4
Sachin Talwar, Palkesh Agarwal, Shiv Kumar Choudhary, Shyam Sunder Kothari, Rajnish Juneja, Anita Saxena, Balram Airan
OBJECTIVE: Aortopulmonary window (APW) is a rare congenital heart defect. We reviewed our experience with this condition over the last two decades. METHODS: Between September 1993 and December 2013, 62 patients underwent surgery for APW. Depending on the associated lesions, they were divided into two groups: Simple (Group 1) or complex (Group 2). In the complex group, six patients had a ventricular septal defect, five patients had interrupted aortic arch, three patients had tetralogy of Fallot, two patients had double outlet right ventricle, and one patient had the right pulmonary artery arising from the ascending aorta...
February 2017: Journal of Cardiac Surgery
https://www.readbyqxmd.com/read/27503753/prenatal-diagnosis-of-an-aortopulmonary-window-with-an-interrupted-aortic-arch
#5
REVIEW
Cecilia García, Teresa Álvarez, Coral Bravo, Ramón Pérez-Caballero, María Teresa Viadero, Francisco Gámez, Ricardo Pérez, Juan De León-Luis
A prenatal aortopulmonary window with an interrupted aortic arch was detected in a 22-week-old fetus. The 3-vessel and trachea view showed a communication between the ascending aorta and the pulmonary artery. Early postnatal surgery was successful. A PubMed-based search identified all cases of prenatal aortopulmonary windows between 2002 and 2015. Nine articles were identified. The average gestational age at diagnosis was 28 weeks (range, 22-33 weeks). The most frequent aortopulmonary window was type I (40%)...
October 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/27374635/closure-of-aortopulmonary-window-using-nit-occlud%C3%A2-pda-r-device-in-a-3-month-old-infant
#6
Ender Odemis, Osman Guvenc, Murat Saygi, Ibrahim Halil Demir
Aortopulmonary window (APW) is a rare abnormality in which a pulmonary defect exists between the ascending aorta and the main pulmonary artery. Given that it may result in cardiac failure and pulmonary vascular disease in the early period, treatment needs to be performed without delay. In addition to surgical treatment, transcatheter closure may also be performed for selected patients. This study describes the case of an infant diagnosed with APW and who underwent successful transcatheter closure using a Nit-Occlud® PDA-R device...
August 2016: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/27372619/aortopulmonary-window-in-adulthood-surviving-at-22-years-without-intervention-or-pulmonary-vascular-disease
#7
İsa Öner Yüksel, Erkan Köklü, Şakir Arslan, Çağın Mustafa Üreyen, Selçuk Küçükseymen
Aortopulmonary window is a rare anomaly, a communication between the ascending aorta and the main pulmonary artery. Prognosis in the absence of correction is poor, with mortality of around 40% in the first year of life. A case of aortopulmonary window without pulmonary vascular disease in adulthood is described in the present report.
June 2016: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
https://www.readbyqxmd.com/read/27272691/the-concept-of-the-arch-window-in-the-spiral-switch-of-the-great-arteries
#8
Ing-Sh Chiu, Meng-Luen Lee, Shu-Chien Huang, Chung-I Chang, Yih-Sharng Chen, Mei-Hwan Wu, Robert H Anderson
When the arterial switch operation includes the Lecompte maneuver, the arterial trunks are reconnected in parallel, rather than the spiral fashion observed in the normal heart. Thus, although the ventriculo-arterial connections are hemodynamically corrected, the anatomic arrangement cannot be considered normal. We hypothesized that, if feasible, it would be advantageous to restore a spiral configuration for the arterial trunks. In 58 patients, we reconstructed the arterial trunks such that, postoperatively, the pulmonary channel spirals round the aorta, passing to either the right or the left, and branches posteriorly...
August 2016: Pediatric Cardiology
https://www.readbyqxmd.com/read/27063344/fetal-aortopulmonary-window-case-series-and-review-of-the-literature
#9
A Fotaki, J Novaes, H Jicinska, J S Carvalho
Aortopulmonary window is a rare congenital cardiac anomaly characterized by communication between the aorta and the pulmonary artery above the semilunar valves. Prenatal diagnosis is rare. We report four fetuses with aortopulmonary window and review the relevant literature. Approximately half of the reported cases had additional cardiac defects. None had chromosomal abnormalities. In cases with normal cardiac connections, the diagnosis can be made prenatally on the standard three-vessel view, as seen in two of our cases...
April 2017: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/26936277/-visualization-of-the-superior-vena-cava-in-the-supraclavicular-acoustic-window
#10
S U Weber, A Breuer, S-C Kim
BACKGROUND: The ultrasound-guided venipuncture of the internal jugular vein for placement of a central venous catheter is well established. For verification of the catheter tip position mostly intracardiac ECG or chest radiography are used. Previously, we established the right supraclavicular fossa view for ultrasound based verification of the catheter placement in the superior vena cava utilizing a microconvex probe. The microconvex probe has a small footprint. However, not all ultrasound systems used in the operating theater are equipped with a microconvex transducer...
March 2016: Der Anaesthesist
https://www.readbyqxmd.com/read/26927652/-anomalous-origin-of-the-right-pulmonary-artery-from-the-ascending-aorta-associated-with-aortopulmonary-window
#11
José Miguel Torres-Martel, Lydia Rodríguez-Hernández, Joaquín Rodolfo Zepeda-Sanabria
Anomalous origin of one pulmonary artery from the aorta is rare. We report a case of a three-month-old infant with aortopulmonary window and anomalous origin of the right pulmonary artery from the ascending aorta. He underwent surgery with anastomosis of the right pulmonary artery, ligation of the aortopulmonary window and the patent duct. He was released under medical treatment and had no signs of pulmonary hypertension or heart failure.
January 2016: Gaceta Médica de México
https://www.readbyqxmd.com/read/26795903/a-tubular-aortopulmonary-window-an-embryological-curiosity
#12
Shanthi Chidambarathanu, Ravi Agarwal, Zahra M Hussain, Nigel A Brown, Robert H Anderson
We describe, in this report, an unusually shaped aortopulmonary communication observed in a six-month-old infant who presented with an associated ventricular septal defect. The defect was tubular, measuring 7 mm in length, and located intrapericardially between the proximal ascending aorta and the pulmonary trunk. It was well defined by transthoracic echocardiogram and was suitable for surgical ligation. We share our dilemma in naming this defect appropriately. We base our explanation on our understanding of normal development of the intrapericardial arterial trunks...
May 2016: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/26697090/aortopulmonary-window-associated-with-an-ascending-aorta-aneurysm-in-an-adult
#13
Rachid El Haouati, Yassine Boukaidi, Zahira Zouizra, Drissi Boumzebra
Aortopulmonary window (APW) is a rare congenital malformation. It results from an incomplete division between the ascending aorta and the pulmonary artery. We describe a 26-year-old male, who presented with a grade II exertional dyspnea and palpitations. Echocardiography revealed an APW with an ascending aorta aneurysm. He underwent surgery under cardiopulmonary bypass without aortic cross-clamping. The APW was closed via the pulmonary artery flap technique using an autologous pericardial patch, and the aneurysm was repaired through the reduction aortoplasty technique...
July 3, 2015: Journal of Tehran Heart Center
https://www.readbyqxmd.com/read/26586308/novel-technique-to-evaluate-pulmonary-vascular-resistance-in-a-patient-with-aortopulmonary-window
#14
Jamie Penk, David Wax, Christian Gilbert, C E Duffy
We report a case of a 15-month-old female presenting with a large aortopulmonary window during a medical mission. The optimal surgical correction for this patient would be based on an estimation of her pulmonary vascular reactivity. This report details the use of antegrade/retrograde flow ratios using Doppler measurements in the proximal descending aorta at baseline and while receiving 100% oxygen. A large increase in the proportion of retrograde flow under the 100% oxygen condition suggested a reactive pulmonary vascular bed...
March 2016: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/26457208/a-case-of-aortopulmonary-window-asymptomatic-until-the-first-pregnancy
#15
Murat Kose, Serra Ucar, Samim Emet, Timur Selcuk Akpinar, Kıvanc Yalin
The aortopulmonary window (APW) is an abnormal communication between the ascending aorta and the pulmonary trunk in the presence of two separate semilunar valves. It is a rare congenital malformation which represents 0.1% of all congenital cardiac diseases. Herein, we report a very rare case of 27-year-old patient with unrepaired APW causing Eisenmenger syndrome and pulmonary hypertension who was asymptomatic until her first pregnancy. The median survival of uncorrected APW is 33 years. Aortopulmonary window is a very rare congenital anomaly...
2015: Case Reports in Cardiology
https://www.readbyqxmd.com/read/26387570/aortopulmonary-window-with-anomalous-coronary-arteries
#16
Jiten Singh, Manpal Loona, Alok Suryavanshi, Manoranjan Sahoo, Tek S Mahant
Aortopulmonary window associated with anomalous origin of the right coronary artery from the main pulmonary artery is rare. We report a four-month-old male presenting with anomalous origin of both right and left coronary arteries from a single ostium from the anterior sinus of the pulmonary artery along with aortopulmonary window (APW). The patient was managed successfully with a pericardial baffle shunting the coronary ostium to the aorta through the APW.
November 2015: Journal of Cardiac Surgery
https://www.readbyqxmd.com/read/26345436/use-of-a-stent-graft-for-patent-ductus-arteriosus-in-an-octogenarian-eliminates-ductus-flow
#17
Wataru Tatsuishi, Go Kataoka, Ryota Asano, Atsuhiko Sato, Kiyoharu Nakano
Closure of a patent ductus arteriosus (PDA) in the elderly is a high-risk procedure because of tissue fragility and many possible complications. The patient in our case was an 81-year-old woman with a window-type PDA caused by cardiac failure. Based on the anatomy of the PDA and aorta and to minimize invasion, we used a stent graft to close the PDA. This approach was successful; hemodynamics improved and ductus flow was eliminated during the follow-up period without intervention from the pulmonary artery side...
June 20, 2016: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/26324080/diagnosis-and-prognosis-of-anomalous-origin-of-the-left-coronary-artery-from-the-pulmonary-artery
#18
Line Marie Broksø Holst, Morten Helvind, Henrik Ørbæk Andersen
INTRODUCTION: Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is an uncommon congenital heart abnormality. The aim of this study was to describe a single-centre experience with surgical repair of this condition. METHODS: We performed a retrospective analysis of cases from February 2004 to January 2014. RESULTS: Ten patients presented with the diagnosis of ALCAPA. A total of seven infants and three adults underwent surgical repair in our Department of Thoracic Surgery, Rigshospitalet, Denmark...
September 2015: Danish Medical Journal
https://www.readbyqxmd.com/read/26196779/associations-between-exposure-to-ambient-benzene-and-pm-2-5-during-pregnancy-and-the-risk-of-selected-birth-defects-in-offspring
#19
Jean Paul Tanner, Jason L Salemi, Amy L Stuart, Haofei Yu, Melissa M Jordan, Chris DuClos, Philip Cavicchia, Jane A Correia, Sharon M Watkins, Russell S Kirby
OBJECTIVE: A growing number of studies have investigated the association between air pollution and the risk of birth defects, but results are inconsistent. The objective of this study was to examine whether maternal exposure to ambient PM2.5 or benzene increases the risk of selected birth defects in Florida. METHODS: We conducted a retrospective cohort study of singleton infants born in Florida from 2000 to 2009. Isolated and non-isolated birth defect cases of critical congenital heart defects, orofacial clefts, and spina bifida were identified from the Florida Birth Defects Registry...
October 2015: Environmental Research
https://www.readbyqxmd.com/read/26140779/acute-aortic-dissection-extending-into-the-lung
#20
George Makdisi, Sameh M Said, Hartzell V Schaff
The radiologic manifestations of ruptured acute aortic dissection, Stanford type A aortic dissection, DeBakey type 1 can present in different radiographic scenarios with devastating outcomes. Here, we present a rare case of a 70-year-old man who presented to the emergency department with chest pain radiating to the back. A chest computed tomography scan showed a Stanford type A, DeBakey type 1, acute aortic dissection ruptured into the aortopulmonary window and stenosing the pulmonary trunk, both main pulmonary arteries, and dissecting the bronchovascular sheaths and flow into the pulmonary interstitium, causing pulmonary interstitial hemorrhage...
July 2015: Annals of Thoracic Surgery
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