title: Transpulmonary correction of an isolated aortopulmonary window in an adult.
abstract: We describe the operative management of a 65-year-old patient with a congenital type I aortopulmonary window. At surgery, heavy calcifications on the aortic side of the defect, and close proximity with the left coronary ostium, prevented patch repair from the transaortic access. Patch closure through a combined transpulmonary approach was therefore required. This case illustrates unique features of a late-presenting aortopulmonary window.
authors.affiliation: Division of Thoracic, Cardiac and Vascular Surgery, Rennes University Hospital, Rennes, France.
authors.forename: Amedeo
authors.initials: A
authors.lastname: Anselmi
authors.forename: Thierry
authors.initials: T
authors.lastname: Langanay
authors.forename: Marcel
authors.initials: M
authors.lastname: Laurent
authors.forename: Alain
authors.initials: A
authors.lastname: Leguerrier
authors.forename: Erwan
authors.initials: E
authors.lastname: Flecher
mesh_terms: D000368:Aged; D001011:Aorta; D001028:Aortopulmonary Septal Defect / Q000150:complications / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D002114:Calcinosis; D002315:Cardiopulmonary Bypass; D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology; D008297:Male; D011651:Pulmonary Artery / Q000601:surgery; D014057:Tomography, X-Ray Computed