Deepa Sasikumar, DM, Baiju S

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Presentation transcript:

Surgical Closure of Aortopulmonary Window in a Topsy-Turvy Heart: A Surgical Challenge Deepa Sasikumar, DM, Baiju S. Dharan, MCh, Sabarinath Menon, MCh, Sivasankaran Sivasubramanian, DM, T.R. Kapilamoorthy, DM The Annals of Thoracic Surgery Volume 101, Issue 5, Pages 1982-1984 (May 2016) DOI: 10.1016/j.athoracsur.2015.04.128 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Superoinferior ventricles seen in computed tomographic angiogram, anterior view. (LA = left atrium; LV = left ventricle; RA = right atrium; RV = right ventricle.) The Annals of Thoracic Surgery 2016 101, 1982-1984DOI: (10.1016/j.athoracsur.2015.04.128) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Lateral view showing the posteroinferior aorta and the neck vessels (arrow). The Annals of Thoracic Surgery 2016 101, 1982-1984DOI: (10.1016/j.athoracsur.2015.04.128) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Three-dimensional reconstruction of computed tomographic angiogram, posterior view, showing the posteroinferior origin of the aorta and the four arch vessels (arrows) traversing up to the neck. The Annals of Thoracic Surgery 2016 101, 1982-1984DOI: (10.1016/j.athoracsur.2015.04.128) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Left bronchus stretched and narrowed by the aorta and neck vessels. The Annals of Thoracic Surgery 2016 101, 1982-1984DOI: (10.1016/j.athoracsur.2015.04.128) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Three-dimensional reconstruction of computed tomographic angiogram, posterior view, showing the aorta and main pulmonary artery (MPA) and the four arch vessels (white arrows), and the aortopulmonary window between the aorta and the main pulmonary artery (black arrow). (DTA = descending thoracic aorta.) The Annals of Thoracic Surgery 2016 101, 1982-1984DOI: (10.1016/j.athoracsur.2015.04.128) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions