Simple Aortopulmonary window: Outcomes of surgical repair at Vietnam National Children’s Hospital

Nguyen The Hai, Dang Thi Hai Van, Nguyen Thi Thu Hang, Nguyen Dinh Chien, Vu Thanh Ha, Do Van Nam, Nguyen Tuan Mai, Nguyen Thi Thanh Tam, Nguyen Ly Thinh Truong

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Tóm tắt

Purpose: Evaluate the midterm outcomes of surgical repair for patients diagnosed with simple aortopulmonary window at Vietnam National Children’s Hospital.


Methods: We retrospective review data of patients who underwent surgical repair for simple aortopulmonary window from May 2014 to December 2023 at Vietnam National Children’s Hospital. Patients who had ventricular septal defect, interrupted aortic arch, aortic arch hypoplasia, double outlet of the right ventricle, or Berry syndrome were excluded from this study.


Results: There were 37 patients who underwent surgical repair in this study. The mean age at the time of surgery was 259.37 ± 702.59 days, and the mean weight was 5.04 ± 3.7 kg. According to the Society of Thoracic Surgeons Congenital Heart Database Committee classification, sixteen patients were type1, twelve were type2, and nine were type3. Two patients underwent ligated window, 3 had window division and sutures without bypass, and 32 had patch repair. There were 4 in-hospital deaths (10.8%), no late deaths, and no patients required cardiac reoperation during a mean follow-up of 62.09 ± 31.07 months.


Conclusions: Midterm survival beyond discharge of simple aortopulmonary window is excellent.

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Tài liệu tham khảo

1. Jacobs JP, Quintessenza JA, Gaynor JW, Burke RP, Mavroudis C. Congenital Heart Surgery Nomenclature and Database Project: aortopulmonary window. Ann Thorac Surg. 2000 Mar;69(3):44–9.
2. Alsoufi B, Schlosser B, McCracken C, Kogon B, Kanter K, Border W, et al. Current Outcomes of Surgical Management of Aortopulmonary Window and Associated Cardiac Lesions. Ann Thorac Surg. 2016 Aug;102(2):608–14.
3. Naimo PS, Yong MS, d’Udekem Y, Brizard CP, Kelly A, Weintraub R, et al. Outcomes of Aortopulmonary Window Repair in Children: 33 Years of Experience. Ann Thorac Surg. 2014 Nov;98(5):1674–9.
4. Backer CL, Mavroudis C. Surgical management of aortopulmonary window: a 40-year experienceq. Thorac Surg. 2002;7.
5. Nguyen CHL, Nguyen TLT, Tran VQ, Nguyen MT, Mai DD, Doan AV, et al. Intermediate outcome for the single-stage surgical repair of aortopulmonary window associated with interrupted aortic arch. Interdiscip Cardiovasc Thorac Surg. 2023 Jun 1;36(6):ivad077.
6. Talwar S, Siddharth B, Gupta SK, Choudhary SK, Kothari SS, Juneja R, et al. Aortopulmonary window: results of repair beyond infancy†. Interact Cardiovasc Thorac Surg. 2017 Nov 1;25(5):740–4.
7. Reddy C, Kaskar A, Karthick E, Siddaiah S, Kiran VS, Suresh P. Surgical Management of Aortopulmonary Window and its Associated Cardiac Lesions. World J Pediatr Congenit Heart Surg. 2022 May;13(3):334–40.
8. Talwar S, Agarwal P, Choudhary SK, Kothari SS, Juneja R, Saxena A, et al. Aortopulmonary window: Morphology, diagnosis, and long-term results. J Card Surg. 2017 Feb;32(2):138–44.