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A Case of Transcatheter Occlusion of Aortopulmonary Window(APW) after APW Banding

Journal of the Korean Pediatric Society 2000;43(9):1290-1293.
Published online September 15, 2000.
A Case of Transcatheter Occlusion of Aortopulmonary Window(APW) after APW Banding
Young Seok Lee1, In Seung Park2, Jae Young Lee2, Soo Jin Kim2, Mi Young Han2, Do Jun Cho2, Eun Jung Bae2, Seong Ho Kim3
1Department of Pediatrics, School of Medicine, Dong-A University, Pusan, Korea.
2Department of Pediatrics, Sejong Heart Institute, Pucheon, Korea.
3Department of Pediatrics, School of Medicine, Gachon University, Incheon, Korea.
대동맥-폐동맥 교약술 후 중재적 시술로 폐쇄한 대동맥-폐동맥 중격 결손 1례
이영석1, 박인승2, 이재영2, 김수진2, 한미영2, 조도준2, 배은정2, 김성호3
1동아대학교 의과대학 소아과학교실
2부천세종병원 소아과
3가천의과대학 소아과학교실
Aortopulmonary window is an uncommon cardiac anomaly accounting for approximately 0.2-0.6% of all congenital cardiac anomalies in which there is a connection between the ascending aorta and pulmonary trunk. Since the first report of successful surgical repair, many investigators have advocated surgical closure of all types of aortopulmonary windows using different technique. The majority of aortopulmonary windows require surgical therapy due to extensive size or location. A few cases of interventional closure of APW with double umbrella and buttoned device are reported, but Gianturco coil has not been used previously. A case is described in an infant with a small aortopulmonary window which was closed by Gianturco coil after APW banding. He did not receive corrective operation because his parents who are Jehovah`s Witnesses refused transfusion. Complete occlusion of the defect was achieved without complications. Transcatheter coil closure of a small aortopulmonary window is feasible in infancy and the technique is likely to be applicable in a few cases.
Key Words: Aortopulmonary window, Transcatheter coil occlusion

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