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  2. Keyword: Aortopulmonary Septal Defect
Figure 1
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Case Report

Percutaneous Closure of the Aortopulmonary Window in an Infant Using an Amplatzer Duct Occluder II Prosthesis

Edmundo Clarindo Oliveira et al. José Augusto Almeida Barbosa Marco Antonio Gonçalves Moura Marcelo Frederigue de Castro … Renata Fonseca Mendoza Maria Carmo Pereira Nunes

Introduction

The Aortopulmonary Window (APW) is a rare congenital malformation, representing approximately 0.2% of all congenital heart diseases. It is typically nonrestrictive and requires early surgical intervention to prevent complications such as pulmonary congestion, respiratory infections, and obstructive pulmonary vascular disease. In cases like ours, where the surgical risk is exceedingly high, percutaneous closure may present a viable alternative.

[…]

  • Aortopulmonary Septal Defect
  • Cardiovascular Surgical Procedures
  • Infant
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Creative Commons Attribution (CC BY) Creative Commons license
27/02/2025 DOI: 10.36660/abcimg.20240079i Views 1
Aortopulmonary window: impact of associated lesions on surgical results
ABC
Artigo Original

Aortopulmonary window: impact of associated lesions on surgical results

Cinthia Siqueira Gangana et al. Ana Flávia de Araújo Malheiros Elizabete Vilar Alves Maurício Amir de Azevedo … Renata Moll Bernardes Luiz Carlos Simões

OBJECTIVES: The aortopulmonary window (APW) is a communication between the pulmonary artery (PA) and the ascending aorta in the presence of two separate semilunar valves. This review describes the natural history of the APW and the impact of associated defects on surgical results in patients treated at our institution. METHODS: Retrospective longitudinal study, based on the review of medical files of patients diagnosed between 1995 and 2005. RESULTS: Of nine patients diagnosed as having APW, six had associated lesions. Seven patients were submitted to surgical treatment with two deaths. One patient was not submitted to surgery due to pulmonary hypertension and another one died before the surgery due to a respiratory infection complication. CONCLUSION: The surgical results are satisfactory when the APW presents as an isolated defect and when surgery is performed early, preventing the development of irreversible arterial pulmonary hypertension (APH). The presence of associated complex congenital heart disease is a bad prognostic factor in our series.

  • Adolescent
  • Aortopulmonary Septal Defect
  • Child
  • heart disease, congenital
  • Infant, Newborn
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Creative Commons Attribution (CC BY) Creative Commons license
24/05/2007 DOI: 10.1590/S0066-782X2007000400006

How to cite this article

EndNote RIS

Electronic Document Format (Vancouver)

Oliveira EC, Barbosa JAA, Moura MAG, Castro MF, Mendoza RF, Nunes MCP. Percutaneous Closure of the Aortopulmonary Window in an Infant Using an Amplatzer Duct Occluder II Prosthesis. ABC Imagem Cardiovascular 2025;38(1):e20240079.

Electronic Document Format (ABNT)

Oliveira, Edmundo Clarindo; Barbosa, José Augusto Almeida; Moura, Marco Antonio Gonçalves; Castro, Marcelo Frederigue de; Mendoza, Renata Fonseca; Nunes, Maria Carmo Pereira. Percutaneous Closure of the Aortopulmonary Window in an Infant Using an Amplatzer Duct Occluder II Prosthesis. ABC Imagem Cardiovascular, v. 38, n. 1, e20240079, Feb. 2025.

Electronic Document Format (APA)

Oliveira, E. C., Barbosa, J. A. A., Moura, M. A. G., Castro, M. F. , Mendoza, R. F., & Nunes, M. C. P. (2025). Percutaneous Closure of the Aortopulmonary Window in an Infant Using an Amplatzer Duct Occluder II Prosthesis. ABC Imagem Cardiovascular, 38(1), e20240079.

Electronic Document Format (ISO)

Oliveira, Edmundo Clarindo and Barbosa, José Augusto Almeida and Moura, Marco Antonio Gonçalves and Castro, Marcelo Frederigue de and Mendoza, Renata Fonseca and Nunes, Maria Carmo Pereira. Percutaneous Closure of the Aortopulmonary Window in an Infant Using an Amplatzer Duct Occluder II Prosthesis. ABC Imagem Cardiovascular [online]. 2025, vol. 38, n. 1, [cited 2026-10-14], e20240079. Available from: <https://journals.cardiol.br/en/article/percutaneous-closure-of-the-aortopulmonary-window-in-an-infant-using-an-amplatzer-duct-occluder-ii-prosthesis/>. ISSN 2318-8219

EndNote RIS

Electronic Document Format (Vancouver)

Gangana CS, Malheiros AFA, Alves EV, Azevedo MA, Bernardes RM, Simões LC. Aortopulmonary window: impact of associated lesions on surgical results. Arquivos Brasileiros de Cardiologia 2007;88(4):402-7.

Electronic Document Format (ABNT)

Gangana, Cinthia Siqueira; Malheiros, Ana Flávia de Araújo; Alves, Elizabete Vilar; Azevedo, Maurício Amir de; Bernardes, Renata Moll; Simões, Luiz Carlos. Aortopulmonary window: impact of associated lesions on surgical results. Arquivos Brasileiros de Cardiologia, v. 88, n. 4, p. 402-407, May. 2007.

Electronic Document Format (APA)

Gangana, C. S., Malheiros, A. F. A., Alves, E. V., Azevedo, M. A. , Bernardes, R. M., & Simões, L. C. (2007). Aortopulmonary window: impact of associated lesions on surgical results. Arquivos Brasileiros de Cardiologia, 88(4), 402-407.

Electronic Document Format (ISO)

Gangana, Cinthia Siqueira and Malheiros, Ana Flávia de Araújo and Alves, Elizabete Vilar and Azevedo, Maurício Amir de and Bernardes, Renata Moll and Simões, Luiz Carlos. Aortopulmonary window: impact of associated lesions on surgical results. Arquivos Brasileiros de Cardiologia [online]. 2007, vol. 88, n. 4, [cited 2026-10-14], pp. 402-407. Available from: <https://journals.cardiol.br/en/article/aortopulmonary-window-impact-of-associated-lesions-on-surgical-results/>. ISSN 0066-782X

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