Lots of interesting abstracts and cases were submitted for TCTAP 2023. Below are the accepted ones after a thorough review by our official reviewers. Don’t miss the opportunity to expand your knowledge and interact with authors as well as virtual participants by sharing your opinion in the comment section!
TCTAP C-182
All Windows Are Not Healthy Windows
By Mahmood Hasan Khan, A. Q. M. Reza
Presenter
Mahmood Hasan Khan
Authors
Mahmood Hasan Khan1, A. Q. M. Reza2
Affiliation
Delta Medical College & Hospital, Dhaka, Bangladesh1, Evercare Hospital Dhaka, Bangladesh2,
View Study Report
TCTAP C-182
STRUCTURAL HEART DISEASE - Congenital Heart Disease (ASD, PDA, PFO, VSD)
All Windows Are Not Healthy Windows
Mahmood Hasan Khan1, A. Q. M. Reza2
Delta Medical College & Hospital, Dhaka, Bangladesh1, Evercare Hospital Dhaka, Bangladesh2,
Clinical Information
Patient initials or Identifier Number
AA, 19 years old female
Relevant Clinical History and Physical Exam
Without any significant co-morbidities
Admitted with the complaints of exertional shortness of
breath, palpitation for last 06 months
Lean & thin, mildly anemic, acyanotic but with clubbed
fingers
S1 normal, P2 of S2 is loud
Relevant Test Results Prior to Catheterization
ECG:
•NSR
•Rate: 100 beats/min
•Rhythm: Regular
•Tall, peaked p wave indicating RAE
•Small Q in I, aVL, V5 & V6
•Few non-specific ST-T changes
Chest X-ray:
Mild congestion
Echo:
•A large (~23 mm) A-P window with reversal of shunt
•Moderate TR
•Severe PH with PASP: 86 mmHg
Relevant Catheterization Findings
A large AP window with no reversibility was seen.
Interventional Management
Procedural Step
üOximetry showed significant step up from RV to PA
üPVR was 27.69 Wood units before oxygen and 26.88 Wood units
after 100% oxygen for 10 minutes.
üPredominant right to left shunt persisted both before and after
oxygen.
üThere was no reversibility of PVR observed after 100% oxygen for
10 minutes.
üLVgraphy, root aortography & descending aortography were done.
üRoot aortography showed a large aorto-pulmonary window
through which contrast passing from aorta to pulmonary trunk
üSo, in one sentence, a large AP window with no reversibility was
seen.
Case Summary
•Aorto-Pulmonary window is a rare congenital heart disease.
•The probability of surgical cure will be dependent on the age at operation and level of
pulmonary vascular resistance.
echocardiogram can provide the information for the correct diagnosis.