Iatrogenic "aortopulmonary window": percutaneous rescue closure as a bridge to surgical repair.
We present the case of a 15-year-old boy who underwent arterial switch operation due to transposition of the great arteries with severe scoliosis, obstruction of the right coronary ostium, and severe stenosis of the pulmonary trunk. Balloon angioplasty caused a large aortopulmonary shunt provoking myocardial ischaemia and pulmonary hypertension. The traumatic "aortopulmonary window" was percutaneously occluded using an Amplatzer Septal Occluder device as a bridge to surgical repair.
Paediatric Cardiology,Città della Salute e della Scienza di Torino,Department of Public Health and Paediatrics,University of Turin,Italy.
Davide
D
Marini
Paediatric Cardiology,Città della Salute e della Scienza di Torino,Department of Public Health and Paediatrics,University of Turin,Italy.
Gaetana
G
Ferraro
Paediatric Cardiology,Città della Salute e della Scienza di Torino,Department of Public Health and Paediatrics,University of Turin,Italy.
Gabriella
G
Agnoletti
D000293:Adolescent; D000792:Angiography; D000800:Angioplasty, Balloon / Q000379:methods*; D003251:Constriction, Pathologic / Q000601:surgery*; D004452:Echocardiography; D004562:Electrocardiography; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D011651:Pulmonary Artery / Q000601:surgery*; D055989:Septal Occluder Device / Q000706:statistics & numerical data*; D014188:Transposition of Great Vessels / Q000601:surgery*
Aortopulmonary window; aortopulmonary fistula; transposition of the great arteries