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Fortuitous identification of an aortopulmonary window by echocardiography

Published online by Cambridge University Press:  13 July 2010

Asmaa Tamdy ,
Rachida Amri  and
Mouhamed Cherti
Asmaa Tamdy*
Affiliation:
Department of Cardiology B, Faculty of Medicine and Pharmacy, RABAT, Mouhamed V University, Morocco
Rachida Amri
Affiliation:
Department of Cardiology B, Faculty of Medicine and Pharmacy, RABAT, Mouhamed V University, Morocco
Mouhamed Cherti
Affiliation:
Department of Cardiology B, Faculty of Medicine and Pharmacy, RABAT, Mouhamed V University, Morocco
*
Correspondence to: A. Tamdy, Résidence Anajd, imm 17, app 188, Cité Plateau, Maarif, Casablanca, Morocco. Tel: 002 126 134 3876, Fax: 002 122 223 0359; E-mail: tamdyasmae@yahoo.fr
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Abstract

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Keywords

Echocardiographycongenital cardiac disease
Type
Images in Congenital Cardiac Disease
Information
Cardiology in the Young , Volume 20 , Issue 5 , October 2010 , pp. 562 - 564
Copyright
Copyright © Cambridge University Press 2010

A 3-year-old child, referred for pre-operative echocardiogaphy of a persistently patent arterial duct (Fig 1), had no continuous diastolic flow on continuous wave Doppler (Fig 2). This caused us to search for additional anomalies, and, in a supra-aortic window, a 15-millimetre aortopulmonary window (Fig 3) was visualised, with left-to-right shunting (Fig 4). A trans-aortic view (Fig 5) additionally disclosed a non-obstructive, two-leaflet aortic valve. With this information, the child underwent successful closure of both the aortopulmonary window and arterial duct at operation. This case emphasises the importance of a thorough and complete pre-operative echocardiographic examination in all cases of congenital cardiac disease.

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References

1. Rajesh, B, Kalyani, RT, Harold, MB, et al. Outcomes for patients with an aortopulmonary window, and the impact of associated cardiovascular lesions. Cardiol Young 2004; 14: 473–480.Google Scholar
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