Aortopulmonary window
Aortopulmonary window (APW) is a faulty connection between the aorta and the main pulmonary artery that results in a significant left-to-right shunt. The aortopulmonary window is the rarest of septal defects, accounting for 0.15-0.6% of all congenital heart malformations. An aortopulmonary window can develop alone or in up to 50% of cases alongside other cardiac defects such as interrupted aortic arch, coarctation of the aorta, transposition of great vessels, and tetralogy of Fallot.
Aortopulmonary window | |
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Other names | Aortopulmonary septal defect |
A chest X-ray showing an Aortopulmonary window. | |
Specialty | Medical genetics |
Symptoms | Tachypnea, poor eating, left-to-right shunt, and diaphoresis. |
Complications | Heart murmurs, eisenmenger syndrome, and heart failure. |
Usual onset | Birth |
Diagnostic method | Physical examination findings, ECG, and imaging. |
Differential diagnosis | Truncus arteriosus, ventricular septal defect, and patent ductus arteriosus. |
Treatment | Heart surgery. |
Prognosis | 40% chance of death within the first year if left untreated. |
Frequency | 0.15-0.6% of all congenital heart malformations. |
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