Percutaneous closure of an aortopulmonary window in a young
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Transcatheter closure of an aortopulmonary window is a feasible choice in specific anatomic subsets. Several occluder devices are designed to achieve an effective closure according to the anatomy of the defect. Aortopulmonary window is a congenital heart disease requiring a surgical approach to achieve a complete correction.

This report is a case of a young female symptomatic adult patient with a significant aortopulmonary window. The patients refused surgical approach and since the defect was far enough from the pulmonary and aortic valve a percutaneous approach was proposed. The large aortopulmonary window was closed effectively with an Amplatzer Muscular Septal Occluder device (Abbott, Plymouth, MN, USA). At 1-year follow-up, the device was in a good position with no residual shunt. Transcatheter closure of an aortopulmonary window is an effective and safe procedure in specific anatomic defects.

Conclusively, Aortopulmonary window is a rare congenital heart defect. Surgery remains the treatment of choice in adults. However, percutaneous techniques are also feasible. In our case, the Amplatzer Muscular Septal Occluder device (Abbott) allowed to achieve a complete closure without residual shunt and vascular wall injuries during follow-up.

Source: https://academic.oup.com/ehjcr/advance-article/doi/10.1093/ehjcr/ytaa059/5816045
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