Dhillon Gurpreet S, Fernandes Caraciolo J, Khan Asra, Heinle Jeffrey S, Lopez Keila N
Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
Section of Neonatology, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
J Clin Ultrasound. 2018 Nov;46(9):617-622. doi: 10.1002/jcu.22615. Epub 2018 Aug 30.
Aortopulmonary window (APW) is a rare form of congenital heart disease seen in isolation or with complex cardiac lesions. APW has been associated with other cardiac defects such as interrupted aortic arch and Tetralogy of Fallot, but few cases have been reported of APW associated with transposition of the great arteries (TGA). In a newborn with TGA and intact ventricular septum, diagnosis of APW requires a high index of suspicion. This article reviews the literature on TGA with APW and illustrates the importance of additional evaluation in neonates with TGA when oxygen saturation and PaO2 do not match predicted clinical values.
主肺动脉窗（APW）是一种罕见的先天性心脏病，可单独出现或合并复杂心脏病变。APW与其他心脏缺陷如主动脉弓中断和法洛四联症有关，但与大动脉转位（TGA）相关的APW病例报道较少。对于患有TGA且室间隔完整的新生儿，APW的诊断需要高度怀疑。本文回顾了有关TGA合并APW的文献，并说明了当氧饱和度和动脉血氧分压（PaO2）与预期临床值不匹配时，对患有TGA的新生儿进行额外评估的重要性。
