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BMJ Case Reports 2018; doi:10.1136/bcr-2018-224401
  • Rare disease
  • CASE REPORT

Aortopulmonary window with pumonary atresia with ventricular septal defect with D-transposition of great arteries: extremely rare anomaly

  1. Ayushi Mehta3
  1. 1 Department of Cardiology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
  2. 2 Head of Department of cardiology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
  3. 3 Department of Anaesthesia, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
  1. Correspondence to Dr Sachin Sondhi, ssachin119{at}gmail.com
  • Accepted 27 April 2018
  • Published 13 June 2018

Summary

Aortopulmonary window (APW) is rare a congenital heart disease accounting for 0.1%–0.2% of all congenital heart defects. The 35% of the APW has been associated with wide variety of other structural heart diseases such as ventricular septal defect, persistent ductus arteriosus, arch anomalies and coronary artery anomalies. To the best of our knowledge, only six cases of APW with pulmonary atresia with ventricular septal defect has been described in the literature. It resembles the type 1 truncus arteriosus, and differentiation from this condition is important prior to surgical correction. We present a case of 14-year-old girl child; she was diagnosed with APW with pulmonary atresia with ventricular septal defect and D transposition of great arteries with the help of echocardiography, cardiac catheterisation and cardiac CT.

Footnotes

  • Contributors All the authors were involved in the management of the patient. Echocardiography was done by PN. Cardiac catheterisation was performed by SS, RS and AM. SS and AM wrote the manuscript. Manuscript was approved by all the authors.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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