Aortopulmonary window

Aortopulmonary window
Other namesAortopulmonary septal defect[1]
A chest X-ray showing an Aortopulmonary window.
SpecialtyMedical genetics Edit this on Wikidata
SymptomsTachypnea, poor eating, left-to-right shunt, and diaphoresis.[2]
ComplicationsHeart murmurs, eisenmenger syndrome, and heart failure.[2]
Usual onsetBirth
Diagnostic methodPhysical examination findings, ECG, and imaging.[2]
Differential diagnosisTruncus arteriosus, ventricular septal defect, and patent ductus arteriosus.[3]
TreatmentHeart surgery.[2]
Prognosis40% chance of death within the first year if left untreated.[4]
Frequency0.15-0.6% of all congenital heart malformations.[4]

Aortopulmonary window (APW) is a faulty connection between the aorta and the main pulmonary artery that results in a significant left-to-right shunt.[2] The aortopulmonary window is the rarest of septal defects, accounting for 0.15-0.6% of all congenital heart malformations.[4] An aortopulmonary window can develop alone or in up to 50% of cases alongside other cardiac defects such as interrupted aortic archcoarctation of the aorta, transposition of great vessels, and tetralogy of Fallot.[3]

  1. ^ "Aortopulmonary window: MedlinePlus Medical Encyclopedia". medlineplus.gov. Retrieved 27 May 2019.
  2. ^ a b c d e Beerman, Lee B. (April 4, 2023). "Aortopulmonary Window — Pediatrics". Merck Manuals Professional Edition. Retrieved October 4, 2023.
  3. ^ a b Umapathi, Krishna Kishore; Nguyen, Hoang (August 8, 2023). "Aortopulmonary Window". StatPearls Publishing. PMID 32809451. Retrieved October 4, 2023.
  4. ^ a b c Demir, Ibrahim Halil; Erdem, Abdullah; Saritas, Turkay; Demir, Fadli; Erol, Nurdan; Yucel, Ilker Kemal; Aydemir, Numan Ali; Celebi, Ahmet (July 1, 2013). "Diagnosis, Treatment and Outcomes of Patients with Aortopulmonary Window". Balkan Medical Journal. 30 (2). AVES Publishing Co.: 191–196. doi:10.5152/balkanmedj.2013.6995. ISSN 2146-3123. PMC 4115960.