Iatrogenic Anomalous Origin of the Right Pulmonary Artery From the Aorta: A Rare Complication of Ligation of Aortopulmonary Window-Reference-Cited by-同舟云学术

Iatrogenic Anomalous Origin of the Right Pulmonary Artery From the Aorta: A Rare Complication of Ligation of Aortopulmonary Window

Published:2023-10-17 Issue: Volume: Page:
ISSN:2150-1351
Container-title:World Journal for Pediatric and Congenital Heart Surgery
language:en
Short-container-title:World J Pediatr Congenit Heart Surg

Author:

Prabhu Sudesh¹^ORCID,Ramachandra Prakash¹,Maiya Shreesha¹,Shanmugasundaram Balasubramanian¹^ORCID,Karl Tom R²

Affiliation:

1. Pediatric Cardiac Services, Narayana Institute of Cardiac Sciences, Bengaluru, India

2. Queensland Pediatric Cardiac Research, University of Queensland, Brisbane, Australia

Abstract

An aortopulmonary window (APW) is a communication between the main pulmonary artery (MPA) and the ascending aorta in the presence of two separate semilunar valves. Surgical strategies described for the management of APW include ligation, division and suturing, patch closure of APW (transaortic or transpulmonary or transwindow), and device closure. Ligation of a type-2 APW can result in stenosis or complete closure of the right pulmonary artery (RPA) off the MPA, while leaving the aorta still opening into the RPA. We describe a delayed presentation of iatrogenic anomalous origin of the RPA from the aorta, post APW ligation, and its management.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Pediatrics, Perinatology and Child Health,Surgery

Link

http://journals.sagepub.com/doi/pdf/10.1177/21501351231201854

Reference6 articles.

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2. Surgical Closure of an Aortic Septal Defect

3. Surgical experience of aortopulmonary window repair in infants

4. Aortopulmonary window: results of repair beyond infancy†

5. Safe Closure of Aortopulmonary Window