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Transposition of the great arteries: When echocardiography does not match the clinical picture
Author(s) -
Dhillon Gurpreet S.,
Fernandes Caraciolo J.,
Khan Asra,
Heinle Jeffrey S.,
Lopez Keila N.
Publication year - 2018
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22615
Subject(s) - great arteries , medicine , tetralogy of fallot , cardiology , heart disease , transposition (logic) , aortopulmonary window , transposition of the great vessels , cardiac surgery , radiology , pulmonary artery , linguistics , philosophy
Aortopulmonary window (APW) is a rare form of congenital heart disease seen in isolation or with complex cardiac lesions. APW has been associated with other cardiac defects such as interrupted aortic arch and Tetralogy of Fallot, but few cases have been reported of APW associated with transposition of the great arteries (TGA). In a newborn with TGA and intact ventricular septum, diagnosis of APW requires a high index of suspicion. This article reviews the literature on TGA with APW and illustrates the importance of additional evaluation in neonates with TGA when oxygen saturation and PaO2 do not match predicted clinical values.