Prenatal Diagnosis of an Aortopulmonary Window With an Interrupted Aortic Arch

Authors

  • García Cecilia MD,

    1. Department of Obstetrics and Gynecology, Hospital General Gregorio Marañón, Universidad Complutense de Madrid, Madrid, Spain
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  • Álvarez Teresa MD,

    1. Department of Pediatric Cardiology, Hospital General Gregorio Marañón, Universidad Complutense de Madrid, Madrid, Spain
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  • Bravo Coral PhD,

    1. Department of Obstetrics and Gynecology, Hospital Central de la Defensa Gómez Ulla, Universidad de Alcalá de Henares, Madrid, Spain
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  • Pérez-Caballero Ramón MD,

    1. Department of Pediatric Cardiac Surgery, Hospital General Gregorio Marañón, Universidad Complutense de Madrid, Madrid, Spain
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  • Viadero María Teresa MD,

    1. Department of Pediatric Cardiology, Hospital Marqués de Valdecillas, Santander, Spain
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  • Gámez Francisco PhD,

    1. Department of Obstetrics and Gynecology, Hospital General Gregorio Marañón, Universidad Complutense de Madrid, Madrid, Spain
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  • Pérez Ricardo PhD,

    1. Department of Obstetrics and Gynecology, Hospital General Gregorio Marañón, Universidad Complutense de Madrid, Madrid, Spain
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  • De León-Luis Juan PhD

    Corresponding author
    1. Department of Obstetrics and Gynecology, Hospital General Gregorio Marañón, Universidad Complutense de Madrid, Madrid, Spain
    • Address correspondence to Juan De León-Luis, PhD, Department of Obstetrics and Gynecology, Hospital General Gregorio Marañón, Unidad de Medicina Fetal, Calle O' Donnell 48, Planta 0, 28009 Madrid, Spain.

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Abstract

A prenatal aortopulmonary window with an interrupted aortic arch was detected in a 22-week-old fetus. The 3-vessel and trachea view showed a communication between the ascending aorta and the pulmonary artery. Early postnatal surgery was successful. A PubMed-based search identified all cases of prenatal aortopulmonary windows between 2002 and 2015. Nine articles were identified. The average gestational age at diagnosis was 28 weeks (range, 22–33 weeks). The most frequent aortopulmonary window was type I (40%). All cases were associated with congenital heart defects, mainly an interrupted aortic arch (50%). No chromosomal or extracardiac abnormalities were seen. Prenatal echocardiography is useful for early diagnosis of an aortopulmonary window. The prognosis depends on the time of surgery and the nature of the associated anomalies.

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