A Large Aortopulmonary Window with a Ventricular Septal Defect: A Rare Combination Presenting at the Age of 16

Aortopulmonary window is a rare congenital anomaly with a communication between ascending aorta and main pulmonary artery. It may be associated with other cardiac malformations like aortic arch anomalies, ventricular septal defect, tetralogy of fallot etc. Survival beyond infancy is rare and early surgical intervention is important to prevent development of irreversible pulmonary hypertension. We report a rare case of larger Aortopulmonary window along with a large ventricular septal defect presenting at the age of 16 years.