Aortopulmonary window

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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Aortopulmonary window
Synonyms	Aortopulmonary septal defect
Pronounce	N/A
Specialty	Cardiology, Pediatric cardiology
Symptoms	Cyanosis, dyspnea, heart murmur
Complications	Heart failure, pulmonary hypertension
Onset	Congenital (present at birth)
Duration	Lifelong if untreated
Types	N/A
Causes	Congenital heart defect
Risks	Genetic factors, maternal diabetes, rubella infection during pregnancy
Diagnosis	Echocardiogram, chest X-ray, cardiac catheterization
Differential diagnosis	Patent ductus arteriosus, ventricular septal defect, atrial septal defect
Prevention	Prenatal care, avoiding teratogens
Treatment	Surgical repair
Medication	Diuretics, ACE inhibitors
Prognosis	Good with treatment
Frequency	Rare
Deaths	Can be fatal if untreated

Anatomical space between the aorta and pulmonary artery

Aortopulmonary window

The aortopulmonary window is an anatomical space located in the mediastinum, the central compartment of the thoracic cavity. It is situated between the ascending aorta and the pulmonary artery. This space is clinically significant as it contains important structures and is a site where certain pathological conditions can manifest.

Anatomy

The aortopulmonary window is bordered anteriorly by the ascending aorta and posteriorly by the pulmonary artery. Superiorly, it is bounded by the aortic arch, and inferiorly, it is limited by the left atrium and the left main bronchus.

Contents

The aortopulmonary window contains several important structures, including:

• The left recurrent laryngeal nerve, which loops under the aortic arch.
• The ligamentum arteriosum, a remnant of the fetal ductus arteriosus.
• Lymph nodes, which are part of the mediastinal lymphatic system.

Clinical significance

The aortopulmonary window is a site where lymphadenopathy can occur, often due to infections, malignancies, or inflammatory conditions. Enlargement of lymph nodes in this area can compress adjacent structures, leading to clinical symptoms such as hoarseness due to compression of the left recurrent laryngeal nerve.

Pathological conditions

• Aortopulmonary window defect: A rare congenital heart defect characterized by a communication between the aorta and the pulmonary artery.
• Lymphadenopathy: Enlargement of lymph nodes in the aortopulmonary window can be indicative of various diseases, including lymphoma and sarcoidosis.

Imaging

The aortopulmonary window can be visualized using imaging techniques such as computed tomography (CT) and magnetic resonance imaging (MRI). These modalities help in assessing the presence of masses, lymphadenopathy, or other abnormalities in this region.

See also

• Mediastinum
• Ascending aorta
• Pulmonary artery
• Congenital heart defect