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Surgical management of aortopulmonary window with pulmonary artery dilatation causing left main coronary compression

Part of: Surgery

Published online by Cambridge University Press:  15 April 2021

Anand Kumar Mishra ,
Sanjeev Hanumantacharya Naganur ,
Vidur Bansal Open the ORCID record for Vidur Bansal [Opens in a new window]  and
Pratyaksha Rana
Anand Kumar Mishra
Affiliation:
Department of Cardiothoracic and Vascular Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Sanjeev Hanumantacharya Naganur
Affiliation:
Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Vidur Bansal*
Affiliation:
Department of Cardiothoracic and Vascular Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Pratyaksha Rana
Affiliation:
Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, India
*
Author for correspondence: Dr Vidur Bansal, Department of Cardiothoracic and Vascular Surgery, PGIMER, Chandigarh160012, India. Tel: +919650659663; Fax: 0172-2745078. E-mail: vidurbansal05@gmail.com
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Abstract

Aortopulmonary window is a rare congenital heart defect. Left main coronary artery extrinsic compression by an enlarged pulmonary artery is a rare complication and a potential cause for chest pain and sudden cardiac death in patients with pulmonary hypertension. Here, we present the case of a 14-year-old boy with a large aortopulmonary window who was planned for a device closure, but during the procedure, he developed ST-T segment changes while the device was being deployed, and hence the procedure was abandoned. The boy subsequently underwent a successful surgical closure thereafter.

Keywords

Aortopulmonary windowCoronary arteryCompression
Type
Brief Report
Information
Cardiology in the Young , Volume 31 , Issue 10 , October 2021 , pp. 1684 - 1686
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

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