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Residual Aortopulmonary Window Closure With Amplatzer Septal Occluder

Department of Interventional Cardiology and Angiology Bakoulev Scientific Center for Cardiovascular Surgery Russian Academy of Medical Sciences Moscow, Russia
For reprint information contact: Bagrat G Alekyan, MD Tel: 7 095 414 7547 Fax: 7 095 414 7708 email: b_alekyan{at}mtu-net.ru Department of Interventional Cardiology and Angiology, Bakoulev Scientific Center for Cardiovascular Surgery, Russian Academy of Medical Sciences, 135 Roublevskoye Shosse, Moscow 121552, Russia.

A 15-year-old female presented with fatigue and dyspnea on exertion due to a residual left-to-right shunt across an aortopulmonary window that had been surgically closed 11 years earlier. The residual opening was located distal to the coronary ostia, the semilunar valves, and the pulmonary artery bifurcation. An Amplatzer septal occluder was used to completely close the residual defect, thereby avoiding reoperation.