Yıldırım Ayşe, Erdem Abdullah, Türkmen Karaağaç Aysu
Department of Pediatric Cardiology, University of Health Sciences, Kartal Koşuyolu Training and Research Hospital, Istanbul, Turkey.
Department of Pediatric Cardiology, Medipol University Medical Faculty, Istanbul, Turkey.
Turk Gogus Kalp Damar Cerrahisi Derg. 2021 Jan 13;29(1):101-104. doi: 10.5606/tgkdc.dergisi.2021.20988. eCollection 2021 Jan.
Although most of aortopulmonary window cases are closed surgically, percutaneous closure can be also used in suitable patients. Defects which are far from the pulmonary and aortic valves, coronary artery, and pulmonary artery bifurcation, with adequate septal rims are considered suitable for percutaneous closure. A three-month-old male infant weighing 4 kg was referred to our pediatric cardiology department with the complaints of fatigue while breastfeeding, difficulty in weight gain, heart murmur, and respiratory distress. A large aortopulmonary window (5.3 mm) and left heart chamber dilatation were detected on echocardiography. The large aortopulmonary window was closed using a symmetric membranous ventricular septal defect occluder device. The closure procedure was performed via the antegrade route without forming an arteriovenous loop. In conclusion, the use of a symmetric membranous ventricular septal defect device for closure of large aortopulmonary window seems to be a safe and effective alternative to surgery in selected infants.
虽然大多数主肺动脉窗病例通过手术闭合，但经皮闭合也可用于合适的患者。远离肺动脉和主动脉瓣、冠状动脉及肺动脉分叉且有足够间隔边缘的缺损被认为适合经皮闭合。一名3个月大、体重4千克的男婴因母乳喂养时疲劳、体重增加困难、心脏杂音和呼吸窘迫被转诊至我院儿科心脏病科。超声心动图检查发现一个大的主肺动脉窗（5.3毫米）和左心腔扩张。使用对称膜周部室间隔缺损封堵器闭合了大的主肺动脉窗。闭合过程通过顺行途径进行，未形成动静脉环。总之，在选定的婴儿中，使用对称膜周部室间隔缺损装置闭合大的主肺动脉窗似乎是一种安全有效的手术替代方法。
