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Describe about Aorto Pulmonary Window ?
This uncommon malformation consists of communication usually non-restrictive between the adjacent walls of the ascending aorta and pulmonary trunk. The Pathophysiology of AP window is similar to that of a large PDA. In 80 per cent of the patients The murmur is systolic rather than continuous and is punctuated by eddy sounds. A moderately restrictive AP window generates a continuous murmur. Apical mid diastolic murmur represents increased flow across the mitral valve.
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It is immune difficult mediated hypersensitivity. Typical manifestations contain rheumatoid arthritis, serum sickness, necrotizing etc.
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