Aortopulmonary Window and Associated Anomalies

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Results of repair• Outcome dependent on era of surgery andpresence of additional anomalies– APW with IAA associated with increased time relatedmortality, hazard ratio = 5.87, p = 0.009Bagtharia et al Cardiol Young 2004
Children’s Hospital of Wisconsin experience• Between 1983 and 2009 n = 24• Simple APW (n = 11)• Complex APW (n = 13)– IAA or coarctation of the aorta (n = 8),– VSD (n = 1),– PA/VSD and anomalous origin of the rightcoronary artery (n = 1),– PA/IVS and PAPVR (n = 1),– dtransposition of the great vessels (n = 1)– congenital absence of the left pulmonary arterywith pulmonary artery hypertension (n = 1).
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 and 14: Presentation•Associated cardiac l
Page 15 and 16: Preoperative management•Resuscita
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: Operative technique -APW with IAA
Page 29 and 30: Conclusion•In the current era res

Aortopulmonary Window and Associated Anomalies

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