Prenatal diagnosis of aortopulmonary window: a literature review and clinical case reports


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Objective. To present an update on the prenatal diagnosis of aortopulmonary window (APW), by using twodimensional fetal echocardiography. Materials and methods. The review includes data from foreign articles that have been published over the past 10 years and are available in PubMed on this topic. It describes two clinical cases of APW, a rare congenital heart defect. Results. The review describes the main diagnostic ultrasound projections that are informative for prenatal diagnosis of this defect and presents data from postnatal computed tomography scans of the newborn. It also shows the outcomes of surgery for this defect. Conclusion. Prenatal diagnosis of APW can be made. The connection between the aorta and the pulmonary artery can be determined using a standard three-vessel section and be suspected during routine second-trimester screening.

Full Text

Restricted Access

About the authors

Rena M. Gasanova

A.N. Bakulev National Medical Research Center for Cardiovascular Surgery, Ministry of Health of Russia

Email: rmgasanova@bakulev.ru
M.D., Ph.D., ultrasound doctor, cardiologist, Head of Perinatal Cardiology Center

Ekaterina L. Bockeria

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: e_bokeriya@oparina4.ru
MD, PhD, Head of the 2nd Department of Pathology of Newborns and Premature Babies

Tamara A. Yarygina

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: tamarayarygina@gmail.com
specialist in ultrasound diagnostics, the Department of Ultrasound and Functional Diagnostics

Liliyana A. Chugunova

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: l_chugunova@oparina4.ru
M.D., senior researcher, Department of ultrasound and functional diagnostics, Radiology Division

References

  1. Erez E., Dagan O., Geаrghiаu G.P., Gelber O., Vidne B.A., Birk E. Surgical management of aortopulmonary window and associated lesions. Ann. Thorac. Surg. 2004; 77(2): 484-7. https://dx.doi.org/10.1016/S0003-4975(03)01603-5.
  2. Bagtharia R.I., Trivedi K.R., Burkhart H.M., Williams W.G., Freedom R.M., Van Arsdell G.S. et al. Outcomes of patients with an aortopulmonary window and the impact of associated cardiovascular lesions. Cardiol. Young. 2004; 14(5): 473-80. https://dx.doi.org/10.1017/S1047951104005025.
  3. Bagtharia R., Freedom R.M., Yoo S.J. Aortopulmonary window. In: Freedom R.M., Yoo S.J., Mikailian H., Williams W.G., eds. The natural and modified history of congenital heart disease. Wiley-Blackwell; 2003: 237-40.
  4. Hew C.C., Bacha E.A., Zurakowski D., del Nido P.J., Mayer J.E., Jonas R.A. Optimal surgical approach for repair of aortopulmonary window. Cardiol. Young. 2001; 11(4): 385-90. https://dx.doi.org/ 10.1017/ s104795110100049x.
  5. Collinet P., Chatelet-Cheront C., Houze de l’Aulnoit D., Rey C. Prenatal diagnosis of an aortopulmonary window by fetal echocardiography. Fetal Diagn. Ther. 2002; 17(5): 302-7. https://dx.doi.org/10.1159/000063186.
  6. Kutsche L.M., Van Meirop L.H. Anatomy and pathogenesis of aorticopulmonary septal defect. Am. J. Cardiol. 1987; 59(5): 443-7. https://dx.doi. org/10.1016/0002-9149(87)90953-2.
  7. Binsalamah Z.M., Greenleaf C.E., Heinle J.S. Type A interrupted aortic arch and type III aortopulmonary window with anomalous origin of the right pulmonary artery from the aorta. J. Card. Surg. 2018; 33(6): 344-7. https://dx.doi. org/10.1111/jocs.13717.
  8. McMahon C.J., DiBardino D.J., Undar A., Fraser C.D. Jr. Anomalous origin of left coronary artery from the right pulmonary artery in association with type III aortopulmonary window and interrupted aortic arch. Ann. Thorac. Surg. 2002; 74(3): 919-21. https://dx.doi.org/10.1016/s0003-4975(02)03794-3.
  9. Bobos D., Kanakis M.A., Koulouri S., Giannаpаulаs N.M. One-stage repair of an interrupted aortic arch with an aortopulmonary window in a premature neonate. Korean J. Thorac. Cardiovasc. Surg. 2015; 48(6): 411-4. https://dx.doi. org/10.5090/kjtcs.2015.48.6.411.
  10. Yoshida M., Yamaguchi M., Os him a Y., Oka S., Higuma T., Okita Y. Single-stage repair of aortopulmonary window with interrupted aortic arch by transection of the aorta and direct reconstruction. J. Thorac. Cardiovasc. Surg. 2009; 138(3): 781-3. https://dx.doi.org/10.1016/ j.jtcvs.2008.07.031.
  11. Konstantinov I.E., Karamlou T., Williams W.G., Quaegebeur J.M., del Nido P.J., Spray T.L. et al. Surgical management of aortopulmonary window associated with interrupted aortic arch: a Congenital Heart Surgeons Society study. J. Thorac. Cardiovasc. Surg. 2006; 131(5): 1136-41.e2. https://dx.doi.org/ 10.1016/j.jtcvs.2005.03.051.
  12. Santos W., Rossi R., Abecasis M., Neves J.P., Rodrigues R., Nunes M. et al. Aortopulmonary window - a review of nine cases. Rev. Port. Cardiol. 2008; 27(11): 1453-62.
  13. Alvarez R., Garcia-Diaz L., Coserria F., Hosseinpour R., Antinolo G. Aortopulmonary window with atrial septal defect: prenatal diagnosis, management and outcome. Fetal Diagn. Ther. 2011; 30(4): 306-8. https:// dx.doi.org/_10.1159/000324173.
  14. Hayashi G., Inamura N., Kayatani F., Kawazu Y., Hamamichi Y. Prenatal diagnosis of aortopulmonary window with interrupted aortic arch by fetal echocardiography. Fetal Diagn. Ther. 2010; 27(2): 97-100. https://dx.doi.org/ 10.1159/000262278.
  15. Vaidyanathan B., Vijayaraghavan A., Karmagaraj B., Kottayil B. Prenatal diagnosis of distal aortopulmonary window with Type A aortic arch interruption with 4-dimensional spatiotemporal image correlation rendering. Circ. Cardiovasc. Imaging. 2018; 11(5): e007721. https://dx.doi.org/ 10.1161/ CIRCIMAGING.118.007721.
  16. Aslan H., Corbacioglu A., Yildirim G., Ceylan Y. Prenatal diagnosis of aortopulmonary window. J. Clin. Ultrasound. 2012; 40(9): 598-9. https://dx.doi. org/ 10.1002/jcu.20867.
  17. Kadohira I., Miyakoshi K., Yoshimura Y. Prenatal images of the aortopulmonary window with an interrupted aortic arch. Pediatr. Cardiol. 2013; 34(5): 1288-9. https://dx.doi.org/10.1007/s00246-012-0613-0.
  18. Kuehn A., Oberhoffer R., Vogt M., Lange R., Hess J. Aortopulmonary window with ventricular septal defect and pulmonary atresia: prenatal diagnosis and successful early surgical correction. Ultrasound Obstet. Gynecol. 2004; 24(7): 793-6. https://dx.doi.org/10.1002/uog.1752.
  19. Richardson J.V., Doty D.B., Rossi N.P., Ehrenhaft J.L. The spectrum of anomalies of aortopulmonary septation. J. Thorac. Cardiovasc. Surg. 1979; 78(1): 21-7.
  20. Fotaki A., Novaes J., Jicinska H., Carvalho J.S. Fetal aortopulmonary window: case series and review of the literature. Ultrasound Obstet. Gynecol. 2017; 49(4): 533-9. https://dx.doi.org/10.1002/uog.15936.
  21. Li W., Bin G., Jiang W., Shuang Y. Prenatal dagnosis of aortopulmonary window by 2-dimensional echocardiography: summary of 8 cases. J. Ultrasound Med. 2019; 38(3): 795-803. https://dx.doi.org/10.1002/jum.14756.
  22. Tkebuchava T., von Segesser L.K., Vogt P.R., Bauersfeld U., Jenni R., Kunzli A. et al. Congenital aortopulumonary window: diagnosis, surgical technique and long-term results. Eur. J. Cardiothorac. Surg. 1997; 11(2): 293-7. https://dx.doi. org/ 10.1016/s1010-7940(96)01048-2.
  23. Gangana C.S., Malheiros A.F., Alves E.V., de Azevedo M.A., Bernardes R.M., Simoes L.C. Aortopulmonary window - impact of associated lesions on surgical results. Arq. Bras. Cardiol. 2007; 88(4): 402-7. https://dx.doi.org/10.1590/ s0066-782x2007000400006.
  24. Chen C.A., Chiu S.N., Wu E.T., Lin M.T., Wang J.K., Chang C.I. et al. Surgical outcome of aortopulmonary window repair in early infancy. J. Formos. Med. Assoc. 2006; 105(10): 813-20. https://dx.doi.org/10.1016/S0929-6646(09)60268-0.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2020 Bionika Media

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies