[Successful surgical management of aortico-left ventricular tunnel using modern noninvasive diagnostic imaging methods].

Orv Hetil

Kardiológiai Központ, Szívsebészeti Osztály Szegedi Tudományegyetem, Szent-Györgyi Albert Orvostudományi Központ Szeged, Pécsi út 6., 6720.

Published: July 2015

AI Article Synopsis

  • Aortico-left ventricular tunnel is a rare congenital heart defect that creates a direct connection from the aorta to the left ventricle, avoiding the aortic valve.
  • The case presented involves a 14-year-old boy whose aortic orifice was located in an unusual position and closed with a pericardial patch after diagnosis.
  • Advanced imaging techniques, including two-dimensional and three-dimensional echocardiography, were crucial for both diagnosing and managing this complex condition, highlighting the need for these methods in future follow-up care.

Article Abstract

Aortico-left ventricular tunnel is a rare congenital cardiac defect, which bypasses the aortic valve via the paravalvar connection from the aorta to the left ventricle. The authors present the case of a 14-year-old boy with aortico-left ventricular tunnel in whom the aortic orifice arose from the right aortic sinus and was closed by a pericardial patch. The diagnosis was confirmed by combined two-dimensional and real time three-dimensional echocardiogram and magnetic resonance imaging. This is the first case, in which these complex diagnostic imaging methods have been used in the pre- and postoperative management of this defect. Optimally the new transthoratic three-dimensional echocardiography would be needed to define the anatomy and functional consequences of the aortico-left ventricular tunnel and in the postoperative follow-up.

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Source
http://dx.doi.org/10.1556/650.2015.30206DOI Listing

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