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Relapse of aortopulmonary window 41 years after patch closure
Author(s) -
Yuichiro Fukumoto,
Soh Hosoba,
Sho Takagi,
Yoshihiro Goto
Publication year - 2019
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1093/ejcts/ezz322
Subject(s) - medicine , aortopulmonary window , ascending aorta , exertional dyspnea , regurgitation (circulation) , cardiology , closure (psychology) , surgery , aorta , pulmonary artery , market economy , economics
In this study, we describe a rare case of a 45-year-old man with a recurrence of aortopulmonary window (APW) 41 years after the initial patch closure for an APW at the age of 4. He presented with persistent cough and exertional dyspnoea. Imagings revealed a recurrence of APW, ascending aorta saccular aneurysm, and severe mitral and tricuspid regurgitation. Re-patch closure, ascending aortic replacement, and mitral and tricuspid annuloplasties were performed, followed by an uneventful postoperative course. The relapse of APW in the remote postoperative period is extremely rare.

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