Case 5/2015 Late Outcome of Corrected Aortopulmonary Window in A 23-Year-Old Female Patient Who Underwent Surgery in Childhood

Laboratory tests

ECG () at 22 years of age showed normal sinus rhythm with no signs of overload, and normal ventricular repolarization. PA = +10º , QRSA = +50º , TA = +50º (lower tracing). ECG prior to operation, at 10 months of age (upper tracing), showed marked left ventricular overload, with QRSA = +70º , PA = +20º and TA = +80º ; RS morphology (amplitudes of 24 and 30 mm) from V1 to V3 and QRs (amplitudes of 10, 50 and 3 mm) from V4 to V6; Sokolow index of 90 mm; no ventricular repolarization abnormalities.

Chest radiograph showed normal cardiac silhouette (cardiothoracic ratio = 0.46) and pulmonary vasculature (). In the image prior to surgery, these parameters were markedly increased, with a cardiothoracic ratio of 0.85 ().

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