Relapse of aortopulmonary window 41 years after patch closure. (21st November 2019)

• Record Type: Journal Article
• Authors: Fukumoto, Yuichiro; Hosoba, Soh; Takagi, Sho; Goto, Yoshihiro
• Is Part Of: European journal of cardio-thoracic surgery. Volume 57:Number 6(2020)
• Page Start: 1218
• Page End: 1220
• Publication Date: 2019-11-21
• Subjects: Aortopulmonary window -- Patch closure -- Recurrence; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Periodicals; 617.54
• DOI: 10.1093/ejcts/ezz322
• Languages: English
• ISSNs: 1010-7940

Abstract

Abstract: 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.