{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T13:29:17Z","timestamp":1765200557087,"version":"3.46.0"},"reference-count":15,"publisher":"Radcliffe Medical Media Ltd","license":[{"start":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T00:00:00Z","timestamp":1764806400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/legalcode"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Interv Cardiol"],"abstract":"<jats:p>Aortopulmonary window (APW) is a rare congenital heart defect that may progress to pulmonary hypertension if untreated. Presented here is the case of a 25-year-old woman with type 1 APW diagnosed in childhood who presented with chest pain, headache, dyspnoea, and transient loss of consciousness. Imaging confirmed severe pulmonary hypertension (mean pulmonary artery pressure 50 mmHg) and a positive vasoreactivity test, allowing for percutaneous closure. A 14 mm Amplatzer Septal Occluder was implanted under transoesophageal echocardiographic and fluoroscopic guidance. Postoperative complications comprised non-immune haemolytic anaemia and haematuria, likely due to minimal residual shunting, both managed conservatively. At 3-month follow-up, echocardiography showed stable device position, no residual shunt, pulmonary pressure reduction (36 mmHg), and mildly decreased systolic function with persistent left-sided dilation. This case supports the feasibility of percutaneous APW closure in selected adults with reversible pulmonary hypertension and highlights the need for structured echocardiographic and haemodynamic follow-up.<\/jats:p>","DOI":"10.15420\/icr.2025.20","type":"journal-article","created":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T12:37:11Z","timestamp":1765197431000},"source":"Crossref","is-referenced-by-count":0,"title":["Beyond Childhood: Percutaneous Closure of an Aortopulmonary Window with Severe Pulmonary Hypertension in an Adult Woman \u2013 A Case Report"],"prefix":"10.15420","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-1274-1220","authenticated-orcid":false,"given":"Felipe Eduardo Mac\u00edas","family":"Prado","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1352-1849","authenticated-orcid":false,"given":"Jhon Mario German","family":"Gaibor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4270-5845","authenticated-orcid":false,"given":"Rafel Ernesto Portaluppi","family":"Cervantes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6644-1828","authenticated-orcid":false,"given":"Marcos Andr\u00e9s Campozano","family":"Burgos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8410-595X","authenticated-orcid":false,"given":"M\u00f3nica Carolina","family":"Guillen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6096","published-online":{"date-parts":[[2025,12,4]]},"reference":[{"key":"ref0","unstructured":"Dakkak W, Alahmadi MH, Oliver TI. Ventricular septal defect. Treasure Island, FL: StatPearls, 2025. http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK470330\/ (accessed 2 May 2025)."},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Mavroudis C, Backer CL, Anderson RH. Ventricular septal defect. In: Mavroudis C, Backer CL, eds. Pediatric Cardiac Surgery. 5th ed. Chichester: Wiley, 2023;317\u201360. https:\/\/doi.org\/10.1002\/9781119282327.ch16. DOI: 10.1002\/9781119282327.ch16","DOI":"10.1002\/9781119282327.ch16"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"U\u00e7ar T, Karag\u00f6zl\u00fc S, Ramo\u011flu MG, Tutar E. Transcatheter closure of aortopulmonary window with Amplatzer duct occluder II: additional size. Cardiol Young 2020;30:424\u20136. https:\/\/doi.org\/10.1017\/S1047951119003342; PMID: 31928548. DOI: 10.1017\/S1047951119003342","DOI":"10.1017\/S1047951119003342"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Maagaard M, Eckerstr\u00f6m F, Schram AL, et al. 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