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Iatrogenic “aortopulmonary window”: percutaneous rescue closure as a bridge to surgical repair

Published online by Cambridge University Press:  08 September 2015

Davide Marini ,
Gaetana Ferraro  and
Gabriella Agnoletti
Davide Marini*
Affiliation:
Paediatric Cardiology, Città della Salute e della Scienza di Torino, Department of Public Health and Paediatrics, University of Turin, Italy
Gaetana Ferraro
Affiliation:
Paediatric Cardiology, Città della Salute e della Scienza di Torino, Department of Public Health and Paediatrics, University of Turin, Italy
Gabriella Agnoletti
Affiliation:
Paediatric Cardiology, Città della Salute e della Scienza di Torino, Department of Public Health and Paediatrics, University of Turin, Italy
*
Correspondence to: Dr D. Marini, Department of Paediatric Cardiology, Ospedale Infantile Regina Margherita, University of Turin, Piazza Polonia 194, 10124 Torino, Italy. Tel: +39 011 313 5492; Fax: +39 011 313 5482; E-mail: dmarini@cittadellasalute.to.it
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Abstract

We present the case of a 15-year-old boy who underwent arterial switch operation due to transposition of the great arteries with severe scoliosis, obstruction of the right coronary ostium, and severe stenosis of the pulmonary trunk. Balloon angioplasty caused a large aortopulmonary shunt provoking myocardial ischaemia and pulmonary hypertension. The traumatic “aortopulmonary window” was percutaneously occluded using an Amplatzer Septal Occluder device as a bridge to surgical repair.

Keywords

Aortopulmonary windowaortopulmonary fistulatransposition of the great arteries
Type
Brief Reports
Information
Cardiology in the Young , Volume 26 , Supplement 3 , March 2016 , pp. 609 - 611
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Copyright
© Cambridge University Press 2015 

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References

1. Preminger, TJ, Lock, JE, Perry, SB. Traumatic aortopulmonary window as a complication of pulmonary artery balloon angioplasty: transcatheter occlusion with a covered stent. A case report. Cathet Cardiovasc Diagn 1994; 31: 286–289.CrossRefGoogle ScholarPubMed
2. Vida, VL, Biffanti, R, Stellin, G, Milanesi, O. Iatrogenic aortopulmonary fistula occurring after pulmonary artery balloon angioplasty: a word of caution. Pediatr Cardiol 2012; 3: 110–113.Google Scholar

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