Fatal outcome of congenital aortopulmonary window with patent ductus arteriosus complicating pregnancy

Thirunavukkarasu, Balamurugan; Kithan, Lijanthung S.; Kumar, Nikhil; Jain, Arihant; Bal, Amanjit

doi:10.4322/acr.2021.265

Cited by 2 publications

(1 citation statement)

References 19 publications

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“…There is no information on the course of previous pregnancies and deliveries in this clinical case. Thirunavukkarasu et al 15 described the cardiac autopsy findings of a woman with aortopulmonary window complicated by Eisenmenger syndrome. Death occurred at 21 weeks of gestation at the age of 20.…”

Section: Discussionmentioning

confidence: 99%

Clinical features and pregnancy outcomes in women with aortopulmonary window defect: case series

Sefiyeva,

Malishevskaya,

Chynybekova

et al. 2023

European Heart Journal - Case Reports

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Background Aortopulmonary window is a rare congenital heart defect that results in severe pulmonary arterial hypertension (PAH), Eisenmenger syndrome, and congestive heart failure in the first months of life. Pregnancy is absolutely contraindicated in the patients with this condition [7]. Case summary This paper describes two clinical cases of pregnancy in patients (28 and 20 years old) with aortopulmonary window defect, severe pulmonary arterial hypertension, and Eisenmenger syndrome that ended in preterm delivery by cesarean section. One patient died in the postpartum period due to progression of right ventricular heart failure. The younger patient survived childbirth and the postpartum period; later she continued therapy at the pulmonary arterial hypertension center. Discussion We describe unusual cases of clinical features in pregnants with aortopulmonary window defect. Due to the rare occurrence and low survival rate of patients with uncorrected aortopulmonary window defect, descriptions of clinical cases of this defect in adults are very rare. It is very important to note the necessity of observation of these patients in specialized centers by a multidisciplinary team of healthcare professionals, due to the high risk of cardiovascular, obstetric complications, and death.

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Section: Discussionmentioning

confidence: 99%

Clinical features and pregnancy outcomes in women with aortopulmonary window defect: case series

Sefiyeva,

Malishevskaya,

Chynybekova

et al. 2023

European Heart Journal - Case Reports

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Successful Repair of Adult Type II Aortopulmonary Window using Dual Patch Technique

Kynta,

Nyitan,

Sun

et al. 2024

Preprint

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Background Aortopulmonary window (APW) is one of the rarest congenital cardiac defects with an incidence of 0.2–0.3% of all cardiac malformations. Patients who present in adulthood with this condition are usually in Eisenmenger syndrome and are inoperable. We present the rare case of an adult with APW with severe pulmonary hypertension who was operable on investigation and successfully treated. Case Presentation A 24 year old female diagnosed with an aortopulmonary window in childhood presented with progressive shortness of breath over the past 6 years. Her clinical examination and investigation revealed a large aortopulmonary window. Cardiac catheterization was done to evaluate the operability of this case and revealed a reversible shunt. The patient underwent successful repair using a double autologous pericardial patch technique. Conclusions Operable aortopulmonary window in an adult is a rare presentation. This report presents the successful repair of aortopulmonary window in an adult.

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Fatal outcome of congenital aortopulmonary window with patent ductus arteriosus complicating pregnancy

Cited by 2 publications

References 19 publications

Clinical features and pregnancy outcomes in women with aortopulmonary window defect: case series

Clinical features and pregnancy outcomes in women with aortopulmonary window defect: case series

Successful Repair of Adult Type II Aortopulmonary Window using Dual Patch Technique

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