van Son J A, Kaan G L, van Oort A, van de Wal H J, Vincent J G, Lacquet L K
Afd. Thorax-Hartchirurgie, Academisch Ziekenhuis St. Radboud Nijmegen.
Tijdschr Kindergeneeskd. 1991 Feb;59(1):32-6.
The diagnosis of aortopulmonary window may be problematical. In 7 patients who had undergone operative closure of an aortopulmonary window the diagnostic and operative techniques, the operative findings, and the postoperative course were retrospectively determined. It appeared that the diagnosis is difficult and that cardiac catheterization with angiocardiography is the most accurate diagnostic technique. Good results of operative correction depend on the timing of the operation (preferably before the first year of life), the operative technique, and the severity of additional anomalies of the heart and great vessels. Delay of surgical correction leads to pulmonary hypertension, caused by irreversible pulmonary vascular disease.
主肺动脉窗的诊断可能存在问题。对7例接受主肺动脉窗手术闭合的患者，回顾性确定其诊断及手术技术、手术所见和术后病程。结果显示诊断困难，心导管血管造影术是最准确的诊断技术。手术矫正的良好效果取决于手术时机（最好在1岁前）、手术技术以及心脏和大血管其他异常的严重程度。手术矫正延迟会导致由不可逆性肺血管疾病引起的肺动脉高压。
