Abstract
Aortopulmonary window (APW) is a rare congenital cardiac anomaly characterized by communication between ascending aorta and main pulmonary artery. It represents between 0.2% and 0.3% of all congenital cardiac lesions. The anaesthetic management of a child with severe pulmonary hypertension associated with right to left shunt is clearly a demanding situation.A 13 year old boy presented for open reduction and internal fixation of right femur. The child was diagnosed with congenital heart disease, APW with severe irreversible Pulmonary Artery Hypertension (PAH). Anaesthetic management comprised of a balanced approach with administration of general anaesthesia and regional analgesia with perioperative invasive haemodynamic monitoring.
Highlights
Aortopulmonary window (APW) is a rare condition resulting from incomplete fusion of conotruncal edge and similar in pathophysiology to Patent Ductus Arteriosus but more severe.[1]
A13 year old boy presented for open reduction and internal fixation of right femur
The child was diagnosed with congenital heart disease, APW with severe irreversible Pulmonary Artery Hypertension (PAH)
Summary
Aortopulmonary window (APW) is a rare condition resulting from incomplete fusion of conotruncal edge and similar in pathophysiology to Patent Ductus Arteriosus but more severe.[1]. A13 year old boy presented for open reduction and internal fixation of right femur. The child was diagnosed with congenital heart disease, APW with severe irreversible Pulmonary Artery Hypertension (PAH).
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
