ReviewJournal of cardiothoracic surgery2025
Successful transcatheter occlusion of an aortopulmonary window using a PFM coil in a pediatric patient: a case report and literature review.
Review in Journal of cardiothoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionAortopulmonary window (APW) is a rare congenital heart defect that causes left-to-right shunting and pulmonary overcirculation. Appropriate intervention prevents long-term complications. CASE PRESENTATION: We report a 3-year-old Iranian girl (weight ~ 14 kg, height ~ 95 cm) presenting with exertional dyspnea, systolic murmur, and bounding pulses. Echocardiography showed a 3 mm Type I APW with mild pulmonary hypertension. Pre-procedure catheterization revealed a mean pulmonary artery pressure (PAP) of 26 mmHg and a Qp/Qs ratio of 1.8. The defect was closed percutaneously using a 5 × 4 mm PFM coil. No pre-procedure CT scan was performed. Post-procedural evaluation demonstrated complete closure, mean PAP reduced to 18 mmHg, Qp/Qs normalized to 1.0, and no residual shunt.
conclusionTranscatheter coil occlusion can be a safe and effective option for small APWs, offering favorable outcomes without the risks of open-heart surgery.
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