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Successful Surgical Management of Aortopulmonary window with Severe Pulmonary Artery Dilatation causing compression of Left Main Coronary Artery in an Adolescent
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  • Anand Mishra,
  • Sanjeev Naganur,
  • Parag Barwad,
  • RUCHIT PATEL,
  • Vinay Upadhyay,
  • Vidur Bansal,
  • Pratyaksha Rana
Anand Mishra
Post Graduate Institute of Medical Education and Research
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Sanjeev Naganur
Post Graduate Institute of Medical Education and Research
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Parag Barwad
Post Graduate Institute of Medical Education and Research
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RUCHIT PATEL
Post Graduate Institute of Medical Education and Research
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Vinay Upadhyay
PGIMER
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Vidur Bansal
PGIMER
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Pratyaksha Rana
Post Graduate Institute of Medical Education and Research
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Abstract

Aortopulmonary Window is a rare congenital heart defect comprising 0.1-0.2% of the total spectrum. Spontaneous closure of this defect is unknown and survival into childhood and adult life is rarely seen. Severe pulmonary artery hypertension develops and causes dilatation of the pulmonary artery. Left main coronary artery extrinsic compression by an enlarged pulmonary artery is a rare complication and a potential cause for chest pain and sudden cardiac death in patients with pulmonary hypertension.