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Ann Thorac Surg 1983;35:132-137
© 1983 The Society of Thoracic Surgeons

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Articles

Aortopulmonary Septal Defect Coexisting with Ventricular Septal Defect and Pulmonary Atresia

From the Department of Surgery and Paediatrics, Brompton Hospital, Fulham Rd, and the Thoracic Unit, Hospital for Sick Children, Great Ormond St, London, United Kingdom

Accepted for publication December 2, 1981.

Three patients are described in whom an aortopulmonary septal defect (aortopulmonary window) coexisted with a ventricular septal defect and pulmonary atresia. One patient had mild and another, moderate aortic regurgitation. In addition, one patient had a sinus of Valsalva aortic aneurysm, while another had a single coronary artery arising from the pulmonary trunk. One patient underwent surgical correction in infancy; the other two, in early adult life. In all three patients, surgical correction involved closure of the aortopulmonary window, closure of the ventricular septal defect, and placement of a valved conduit between the right ventricle and the distal pulmonary trunk. One patient died 3 weeks postoperatively due to secondary hemorrhage where the conduit had been sutured to the right ventricle. The other two patients are alive and well 3 1/2 years and 6 months after surgery, respectively. The presence of aortopulmonary window permits normal development of the pulmonary arteries in the presence of the coexisting pulmonary atresia; in the three patients described, the absence of pulmonary vascular disease made total surgical repair feasible for this combination of defects.

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