Transposition of Great Arteries With Aortopulmonary Window: Our Surgical Experience Amit Mishra, MCh, FPCS, Hemang Gandhi, MD, Pranav Sharma, MCh, Hardik.

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Transposition of Great Arteries With Aortopulmonary Window: Our Surgical Experience Amit Mishra, MCh, FPCS, Hemang Gandhi, MD, Pranav Sharma, MCh, Hardik Patel, MBBS, Divyakant Parmar, MD, Megha Sheth, MB, DMRD, Dayesh Rodricks, DPT The Annals of Thoracic Surgery Volume 97, Issue 1, Pages 196-201 (January 2014) DOI: 10.1016/j.athoracsur.2013.07.012 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Reconstructed image of multisliced computerized tomography scan of heart and great vessels showing transposed great arteries with aortopulmonary window.(AP = aortopulmonary; MPA = main pulmonary artery; RT Vent = right ventricle.) The Annals of Thoracic Surgery 2014 97, 196-201DOI: (10.1016/j.athoracsur.2013.07.012) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Preoperative appearance with ghosted aortopulmonary window showing line of ascending aortic transaction. (B) Appearance after anterior aortic wall transaction. (C) Appearance after coronary buttons excision. (D) View of redundant anterior ascending aortic tissue flap with punch holes for coronary transfer and line of excision of pulmonary arteries. (E) View of translocated coronaries with excised branch pulmonary arteries. (F) Neo-aortic reconstruction. (G) Reconstructed neo-aorta. (H) Reconstructed neo-pulmonary artery. (I) Right anterolateral view of reconstructed neo-aorta and neo-pulmonary artery. The Annals of Thoracic Surgery 2014 97, 196-201DOI: (10.1016/j.athoracsur.2013.07.012) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Intraoperative photograph showing aortopulmonary window after transaction of aorta. The Annals of Thoracic Surgery 2014 97, 196-201DOI: (10.1016/j.athoracsur.2013.07.012) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Intraoperative photograph after transfer of right and left coronary artery to neo-aorta. The Annals of Thoracic Surgery 2014 97, 196-201DOI: (10.1016/j.athoracsur.2013.07.012) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions