Fatal outcome of congenital aortopulmonary window with patent ductus arteriosus complicating pregnancy
Autops. Case Rep
;
11: e2021265, 2021. tab, graf
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Defeito do Septo Aortopulmonar
/
Cardiopatias Congênitas
/
Hipertensão Pulmonar
Limite:
Adulto
/
Feminino
/
Humanos
/
Gravidez
Idioma:
Inglês
Revista:
Autops. Case Rep
Assunto da revista:
Anatomia
/
Patologia Cl¡nica
/
Patologia Legal
Ano de publicação:
2021
Tipo de documento:
Artigo
País de afiliação:
Índia
Instituição/País de afiliação:
Post Graduate Institute of Medical Education & Research/IN
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