Aortopulmonary Window and Associated Anomalies

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Indications for intervention•Presence of an aortopulmonarywindow is an indication for treatment–Very small window could be followed andultimately closed using catheter basedtechniques•Small to moderate intermediate APWmay be suitable for device closure–Access in a small infant may be difficult•Repair is best accomplished using CPB
Preoperative management•Resuscitation limiting excessive pulmonaryblood flow– requires intubation and mechanical– sedation ± neuromuscular blockade– hypercapnea and minimizing FIO 2 will increasethe pulmonary vascular resistance, decrease lefttorightshunting, and improve systemic oxygendelivery.– Inotropic support may be required.• Prostaglandin infusion is necessary inpatients with Interrupted aortic arch
Page 1 and 2: Aortopulmonary Window andAssociated
Page 3 and 4: Aortopulmonary Window• The result
Page 5 and 6: Classification•Perhaps more a con
Page 7 and 8: Classification -APW with IAAKonstan
Page 9 and 10: Presentation•Similar to that of o
Page 11 and 12: Presentation• The diagnosis is ro
Page 13: Presentation•Associated cardiac l
Page 17 and 18: Operative technique - APW• Median
Page 19 and 20: Operative technique - APW• Repair
Page 21 and 22: Operative technique - APW• Single
Page 23 and 24: Operative technique -APW with IAA
Page 25 and 26: Operative technique -APW with IAA
Page 27 and 28: Children’s Hospital of Wisconsin
Page 29 and 30: Conclusion•In the current era res

Aortopulmonary Window and Associated Anomalies

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