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Ann Pediatr Cardiol. 2018 Sep-Dec;11(3):322-324. doi: 10.4103/apc.APC_45_18.

Total anomalous pulmonary venous connection masking an aortopulmonary window: A rare combination of defects.

Author information

1
Department of Pediatrics, Division of Pediatric Cardiology, Dr RML Hospital and PGIMER, New Delhi, India.
2
Department of Radiology, Dr RML Hospital and PGIMER, New Delhi, India.
3
Department of CTVS, Dr RML Hospital and PGIMER, New Delhi, India.

Abstract

The association of aortopulmonary (AP) window with total anomalous pulmonary venous connection (TAPVC) has so far not been reported. We report a unique case of an 8-month-old child who presented with congestive cardiac failure and severe pulmonary arterial hypertension. Initial echocardiography revealed supracardiac TAPVC. Cardiac computed tomography showed the presence of Type I AP window along with the TAPVC. In the presence of severe pulmonary hypertension and dilated right ventricle, AP window may easily be missed if not actively looked for.

KEYWORDS:

Aortopulmonary window; pulmonary hypertension; total anomalous pulmonary venous connection

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