Fatal outcome of congenital aortopulmonary window with patent ductus arteriosus complicating pregnancy
Autops. Case Rep
;
11: e2021265, 2021. tab, graf
Article
Dans Anglais
| LILACS
| ID: biblio-1285388
ABSTRACT
Aortopulmonary window (APW) is a rare congenital heart defect with abnormal communication between the ascending aorta and the pulmonary trunk with two separate semilunar valves. We present an autopsy case report wherein a young primigravida woman presented with progressive breathlessness and central cyanosis at 21 weeks of gestation. Echocardiography performed in the emergency room revealed elevated right-sided cardiac pressures suggestive of severe pulmonary hypertension; however, no structural cardiac defect was discernible. The patient succumbed to congestive cardiac failure and progressive hypoxia within 5 days of hospitalization. The autopsy revealed a Type I aortopulmonary window (2 cm) with patent ductus arteriosus. The lungs showed changes of severe pulmonary hypertension with superadded bronchopneumonia. This report underscores a rare presentation of APW, undiagnosed until pregnancy, leading to the Eisenmenger syndrome and death.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Communication aortopulmonaire
/
Cardiopathies congénitales
/
Hypertension pulmonaire
Limites du sujet:
Adulte
/
Femelle
/
Humains
/
Grossesse
langue:
Anglais
Texte intégral:
Autops. Case Rep
Thème du journal:
Anatomia
/
Patologia Cl¡nica
/
Patologia Legal
Année:
2021
Type:
Article
Pays d'affiliation:
Inde
Institution/Pays d'affiliation:
Post Graduate Institute of Medical Education & Research/IN
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