Author/Authors :
abdul nasir, jamal children hospital - institute of children health, pakistan , ali, liaqat faisalabad institute of cardiology, Pakistan , bukhari, muhammad ali children hospital - institute of children health, pakistan , rasool, faiz children hospital - institute of children health, Pakistan , khan, muhammad asim children hospital - institute of children health, Pakistan , shah, salman a. children hospital - institute of children health, Pakistan , chaudhary, abid r. children hospital - institute of children health, Pakistan
Abstract :
Background: During the last five years total ten cases of type A Aortopulmonary window (APW) were done through direct surgical closure. Direct closure has advantage of avoiding cardio pulmonary bypass (CPB) and post operative complication of cardiopulmonary bypass. Objective: To study the hospital and midterm outcome of direct closure of aortopulmonary window and to study the cost effectiveness of this technique. Study Design: It is a cross sectional observational study. Place and Duration: From January 2010 to December 2015, sixteen infants with Aortopulmonary window were operated in the department of Paederiatic Cardiac Surgery, Institute of children health Lahore, Pakistan. Materials and Methods: This study was conducted at Children Hospital and Institute of Children health Lahore from January 2010 to December 2015. Total sixteen patients with type A AP window were operated in our Institute from January 2010 to December 2015. Out of sixteen, 6 patients had associated cardiac defects like VSD and they were operated by using CPB. Ten patients with isolated type A AP window were operated through direct closure of defect without using CPB. Any patient who was diagnosed on echocardiography a case of AP window was included in this study. Most the patients presented with signs of cardiac failure. Weight of every patient was noted. Results: Out of sixteen, ten were patients of type A AP window, in whom defect was closed by direct closure technique without using CPB. These ten patients were further analyzed for operative technique and clinical outcome. Age at operation ranged from 1.5 to 10 months (median 5 months). Weight at operation ranged from 3 to 6 kg (median 5kg). Follow up ranged from 2 months to 48 months. There were no early or late deaths postoperatively. There were no residual defects or distortion of RPA in our study. ICU stay ranged from 1 to 2 days postoperatively. Conclusion: Direct closure of type A Aorto pulmonary window is safe and has excellent short and midterm results and it is a cost effective procedure.
