title: Right pulmonary artery obstruction is a long-term complication of aortopulmonary window repair.
abstract: The early outcomes of transaortic patch repair closure for aortopulmonary window are satisfactory, but the lifelong fate of the aorta and pulmonary artery remains unknown. We describe a 40-year-old patient with right pulmonary artery occlusion accompanied by aneurysmal dilation of the ascending aorta 38 years after transaortic repair of an aortopulmonary window. Operative findings revealed patch shrinkage and thrombotic occlusion of the right pulmonary artery. The dilated ascending aorta firmly adhered to the right pulmonary artery. After pulmonary artery thrombectomy, the right pulmonary artery was reconstructed and the dilated ascending aorta was replaced.
authors: Department of Thoracic and Cardiovascular Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.
authors: Kazuyuki
authors: K
authors: Daitoku
authors: Sanae
authors: S
authors: Yamauchi
authors: Yasuyuki
authors: Y
authors: Suzuki
authors: Ikuo
authors: I
authors: Fukuda
mesh_terms: D000328:Adult; D001011:Aorta / Q000002:abnormalities / Q000601:surgery*; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001706:Biopsy; D019917:Blood Vessel Prosthesis Implantation; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D003251:Constriction, Pathologic; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D019651:Plastic Surgery Procedures; D012086:Reoperation; D017131:Thrombectomy; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Adult Congenital Heart Disease; Postoperative Complications; Teflon Patch