Technical Details of Transwindow Fenestrated, Unidirectional, Valved, Aorticopulmonary Fabric Patch Closure of Aortopulmonary Window (UKC's Modification): A Video Presentation

Author:

Chowdhury Ujjwal K.1ORCID,George Niwin1,B. Sushamagayatri1,Chandhirasekar Balaji1,Goja Shikha1,Manjusha Nagasai1,Pandey Niraj Nirmal2,Kapoor Poonam Malhotra3

Affiliation:

1. Department of Cardiothoracic and Vascular Surgery, Cardiothoracic Sciences Centre, All India Institute of Medical Sciences, New Delhi, India

2. Department of Cardiac Radiology, Cardiothoracic Sciences Centre, All India Institute of Medical Sciences, New Delhi, India

3. Department of Cardiac Anaesthesia, Cardiothoracic Sciences Centre, All India Institute of Medical Sciences, New Delhi, India

Abstract

AbstractA 10-year-old female patient diagnosed with isolated type I aortopulmonary window and severe pulmonary arterial hypertension who underwent repair of the aortopulmonary window via Johansson's transwindow approach using a unidirectional, fenestrated, valved, aorticopulmonary patch. The preoperative pulmonary vascular resistance was 9.0 Woods units/m2 that reduced to 4.0 Woods units/m2 after oxygen (100%) and nitric oxide (80 ppm) administration. The postoperative recovery was uneventful.

Publisher

Georg Thieme Verlag KG

Subject

General Medicine

Reference23 articles.

1. Aorticopulmonary septal defect;H N Neufeld;Am J Cardiol,1962

2. Surgical management of aortopulmonary fenestration;T C Putnam;Surgery,1966

3. The spectrum of anomalies of aortopulmonary septation;J V Richardson;J Thorac Cardiovasc Surg,1979

4. Case of malformation of the pulmonary artery and aorta;J Elliotson;Lancet,1930

5. Surgical closure of an aortic septal defect;R E Gross;Circulation,1952

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