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Current treatment of aortopulmonary window
Authors:Spencer J. Melby  Sanjiv K. Gandhi
Affiliation:(1) Department of Pediatrics, VU Medical Center, Center for Congenital Anomalies of the Heart Amsterdam/Leiden, Amsterdam, The Netherlands;(2) Department of Cardiothoracic Surgery and Pediatric Cardiology, Center for Congenital Anomalies of the Heart Amsterdam/Leiden, Emma Children’s Hospital/Academic Medical Center, Amsterdam, The Netherlands;(3) Leiden University Medical Center, Leiden, The Netherlands;(4) Department of Cardiothoracic Surgery D6-26, Leiden University Medical Center, Postbus 9600, 2300 RC Leiden, The Netherlands;
Abstract:Aortopulmonary window is a rare abnormal congenital communication between the pulmonary artery and the ascending aorta with intact aortic and pulmonary valves. Because pulmonary hypertension and premature death are the natural history of the uncorrected left-to-right shunt physiology that occurs with aortopulmonary window, surgical correction, which is the gold standard of treatment, should be offered to patients at the time of diagnosis, before the development of lung injury and irreversible pulmonary hypertension.
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