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Aortopulmonary Septal Defect

Aorticopulmonary Septal Defects


Presentation

  • […] if the condition was present at the time of inpatient admission.[icd.codes]
  • Case history and necropsy findings of a 5-month-old infant with a unique heart defect with features of truncus arteriosus communis and aortopulmonary defect in combination with severe tricuspid stenosis are presented.[ncbi.nlm.nih.gov]
  • The clinical presentation of aortopulmonary septal defects is dependent on the size of the defect and on the associated lesions. The presentation is usually similar to that of other patients with left-to-right shunts .[radiopaedia.org]
  • Present On Admission POA Help "Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery[icd10data.com]
  • Clinically, APW presents with similar symptoms to those of a patent ductus arteriosus and a VSD with pulmonary hypertension. The magnitude of the shunt is mainly related to the size of the defect and pulmonary vascular resistance.[tgkdc.dergisi.org]
Atrial Septal Defect
  • Simple defects are those that do not require surgical repair, occur with no other defects, or those that require minor stright-forward repair ( ductus arteriosus, atrial septal defect ).[en.wikipedia.org]
  • Q21 Congenital malformations of cardiac septa Excludes1 acquired cardiac septal defect ( I51.0 ) Q21.0 Ventricular septal defect Inclusion term(s): Roger's disease Q21.1 Atrial septal defect Inclusion term(s): Coronary sinus defect Patent or persistent[icd10coded.com]
  • septal defect Q21.2 - Atrioventricular septal defect Q21.3 - Tetralogy of Fallot Q21.8 - Other congenital malformations of cardiac septa Q21.9 - Congenital malformation of cardiac septum, unspecified[emedcodes.com]
  • Intracardiac associated anomalies were as follows: ventricular septal defects (7 cases), tetralogy of Fallot (2 cases), aortic valve stenosis (2 cases), atrial septal defect (3 cases), patent ductus arteriosus (3 cases), pulmonary valve stenosis (1 case[ncbi.nlm.nih.gov]
  • NIH: National Heart, Lung, and Blood Institute Atrial septal defect (Medical Encyclopedia) Bicuspid aortic valve (Medical Encyclopedia) Congenital heart defect corrective surgeries (Medical Encyclopedia) Congenital heart disease (Medical Encyclopedia)[icdlist.com]
Asymptomatic
  • At a mean follow-up of 47 /- 35 months 8 patients are asymptomatic and 1 is awaiting for repair of associated anomalies. Conclusions. APSD is a rare but nonetheless well identifiable anomaly.[ncbi.nlm.nih.gov]
  • In isolation, these defects may be asymptomatic, or they may produce symptoms which can range from mild to severe, biological tissues may be used to construct artificial passages.[wikivisually.com]
  • Surgical closure is indicated in all patients with an APW, except for asymptomatic patients with small defects. In most patients, closure should be undertaken at the time of diagnosis because of the risk for pulmonary vascular disease.[tgkdc.dergisi.org]
  • We report on a patient with a small aortopulmonary window, who presented with an asymptomatic murmur and in whom catheter closure was successfully performed with an Amplatzer Duct Occluder.[ncbi.nlm.nih.gov]
  • The remaining patients are asymptomatic without treatment after a mean follow-up period of 69 months. Conclusions.[revespcardiol.org]
Lymphadenopathy
  • The aortopulmonary window is commonly a location for lymphadenopathies and less commonly a location for neurogenic tumors or aneurysms.[ajronline.org]
  • A newly straightened or convex lateral border is considered abnormal and has a number of causes 1,2 : mediastinal lymphadenopathy (most common 3 ) prominent mediastinal fat (normal variant 3 ) aortic or bronchial artery aneurysms malignancy, e.g. nerve[radiopaedia.org]
Plethora
  • […] artery left ventricular outflow tract obstruction transposition of the great arteries coronary anomalies Plain radiograph Chest radiographs may show moderate to severe cardiomegaly (due to left atrial and ventricular enlargement) together with pulmonary plethora[radiopaedia.org]
Respiratory Distress
  • Two patients developed complications during this period, one with PAH and another with systemic infection and acute respiratory distress syndrome (ARDS); a third patient presented a late complication with surgical wound infection and was readmitted at[scielo.br]
Heart Disease
  • Aortopulmonary window: a rare congenital heart disease. Journal of the Belgian Society of Radiology. 2014;97(6):356–7. DOI: Published on 01 Nov 2014. Peer Reviewed Downloads PDF (EN)[jbsr.be]
  • NIH: National Heart, Lung, and Blood Institute Atrial septal defect (Medical Encyclopedia) Bicuspid aortic valve (Medical Encyclopedia) Congenital heart defect corrective surgeries (Medical Encyclopedia) Congenital heart disease (Medical Encyclopedia)[icdlist.com]
  • Every topic and chapter has been revised and updated to reflect the latest medical and surgical treatments for all congenital and acquired heart diseases. New surgical approaches, including hybrid procedures, have been updated.[books.google.com]
  • Get comprehensive coverage of all areas of cardiac surgery, including ischemic, valvular, and congenital heart disease; cardiac tumors; constrictive pericarditis; thoracic aortic surgery; cardiac transplantation; coronary artery disease; aortic valve[books.google.com]
Heart Murmur
  • murmur associated with failure to thrive and respiratory distress.[jbsr.be]
  • murmurs and other sounds (Medical Encyclopedia) Patent ductus arteriosus (Medical Encyclopedia) Ventricular septal defect (Medical Encyclopedia) [ Read More ][icdlist.com]
  • The patient was a 46-year-old woman with heart murmur which had been discovered in her childhood. She went through two pregnancies and delivered with no manifestation of heart failure. She was admitted to our hospital due to orthopnea.[webview.isho.jp]
Continuous Murmur
  • Sell : Patent ductus arteriosus in the absence of a continuous murmur. Circulation 6 , 110 (1952). PubMed Google Scholar Daniel , R.: Diskussion in Surgery 42 , 120 (1957). Google Scholar Davis Jr., C., E. H. Fell , B. M. Gasul , and R.[link.springer.com]
Confusion
  • APSD should not be confused with the radiographic term aortopulmonary window , which refers to a mediastinal space on chest radiographs and CT scans. Aortopulmonary septal defects occur in 1,2 .[radiopaedia.org]
  • Also, be careful not to confuse the AP window with the aortic-pulmonary stripe . The term should also not be confused with an aortopulmonary septal defect (on occasion is also called an aortopulmonary window).[radiopaedia.org]

Treatment

  • Surgical reoperation was the treatment of choice traditionally, while associated with increased risk and suffering.[ncbi.nlm.nih.gov]
  • Many children with congenital heart defects don't need treatment, but others do. Treatment can include medicines, catheter procedures, surgery, and heart transplants.[icdlist.com]
  • 例句 Infracristal ventricular septal defect 嵴下型室間隔缺損 Surgical treatment of ventricular septal defect with pulmonary hypertension in infants 嬰幼兒室間隔缺損並肺動脈高壓的外科治療 Pathologic anatomy and surgical treatment of muscular ventricular septal defect 肌部室間隔缺損類型與外科糾治方法探討[dict.site]
  • Every topic and chapter has been revised and updated to reflect the latest medical and surgical treatments for all congenital and acquired heart diseases. New surgical approaches, including hybrid procedures, have been updated.[books.google.com]
  • Closure of the aortopulmonary septal defect with implantation of the right pulmonary artery in the pulmonary trunk and repair of the aortic arch anomaly is the recommended surgical treatment.[ncbi.nlm.nih.gov]

Prognosis

  • In the absence of associated anomalies, the late results of surgical correction are excellent; however, in patients with complex anomalies, the prognosis is largely determined by the presence of these anomalies.[tgkdc.dergisi.org]
  • Treatment and prognosis Early surgical or device closure is indicated as soon as the diagnosis is established to prevent congestive heart failure and pulmonary hypertension. Associated cardiovascular defects should also be repaired.[radiopaedia.org]
  • Prenatal diagnosis is important for the prognosis, since early surgical intervention is needed to prevent development of severe heart failure in the neonate.[eurekamag.com]
  • The sooner this condition is diagnosed and treated, the better the child's prognosis. There is no known way to prevent aortopulmonary window.[nlm.nih.gov]
  • Outlook (Prognosis) Surgery to correct aortopulmonary window is successful in most cases. If the defect is treated quickly, the child should not have any lasting effects.[mountsinai.org]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • While its etiology remains unclear, there is some evidence concerning its embryogenic and genetic origin. 1–3 It is reported to be associated with cardiovascular disorders.[elsevier.pt]

Epidemiology

  • […] with potential placement of a local anesthetic infusion catheter under the fascia, to enhance postoperative pain control. j) Multiple muscular VSDs are a challenge to close, achieving a complete closure can be aided by the use of fluorescein dye. [15] Epidemiology[en.wikipedia.org]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology [ edit ] During ventricular contraction, or systole, some of the blood from the left ventricle leaks into the right ventricle, passes through the lungs and reenters the left ventricle via the pulmonary veins and left atrium.[en.wikipedia.org]

Prevention

  • To prevent the narrowing of the proximal right pulmonary artery in the distal aortopulmonary septal defect caused by conventional intraluminal prosthetic patch reconstruction, rerouting of the right pulmonary artery using native aortic wall tissue without[ncbi.nlm.nih.gov]
  • Treatment and prognosis Early surgical or device closure is indicated as soon as the diagnosis is established to prevent congestive heart failure and pulmonary hypertension. Associated cardiovascular defects should also be repaired.[radiopaedia.org]
  • Prenatal diagnosis is important for the prognosis, since early surgical intervention is needed to prevent development of severe heart failure in the neonate.[eurekamag.com]
  • What about preventing endocarditis? Most children with an ASD are not at increased risk for developing endocarditis.[heart.org]
  • There is no known way to prevent aortopulmonary window.[nlm.nih.gov]

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