Llop J R, Gómez M G, Calls M T, Comas J G, Torre J G, Lamuela J S
Arch Inst Cardiol Mex. 1975 Jul-Aug;45(4):445-52.
Four cases of aorto-pulmonary window are presented, diagnosed in the Section of Pediatric Cardiology during the last six years. The results obtained from clinic; ECG; X-ray; hemodinamic and angiographic studies are described. All of them were clinically diagnosed as left to right shunt through a persistent ductus arteriosus in two cases and of VSD the other two. The final diagnosis was made through cardiac cateterization in one case and at surgery in three. Two of the cases showed additional alterations, in one case it was a PDA, and the other a valvular aortic stenosis. All of them were operated, three successfully and one died immediately after operation. We consider that the study of this relatively rare cardiopaty deserves special attention, because of the similarity to other forms of left to right shunts. We insist on its difficult clinical dianose and the need of making a early diagnosis to do corrective surgery.
本文介绍了4例主-肺动脉窗病例，这些病例是在过去6年里于小儿心脏病科确诊的。文中描述了临床、心电图、X线、血液动力学和血管造影研究的结果。所有病例临床诊断时，其中2例为经持续动脉导管的左向右分流，另外2例为室间隔缺损。最终诊断1例通过心导管检查得出，3例通过手术得出。其中2例还存在其他病变，1例为动脉导管未闭，另1例为主动脉瓣狭窄。所有病例均接受了手术，3例成功，1例术后立即死亡。我们认为，由于这种相对罕见的心脏病与其他形式的左向右分流相似，对其研究值得特别关注。我们强调其临床诊断困难，以及早期诊断以进行矫正手术的必要性。
