Aorto-Right Ventricular Tunnel: An Uncommon Problem with a Common Solution

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Aorto-Right Ventricular Tunnel: An Uncommon Problem with a Common Solution

Aorto-ventricular tunnel is a rare congenital malformation, and aorto-right ventricular tunnel (ARVT) is an even less common entity. Here, we report the case of a 3-month-old female who underwent successful surgical closure of ARVT. The origin of the right coronary artery was proximal to the ostium of the tunnel.

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Aorto-ventricular tunnel

Aorto-ventricular tunnel is a congenital, extracardiac channel which connects the ascending aorta above the sinutubular junction to the cavity of the left, or (less commonly) right ventricle. The exact incidence is unknown, estimates ranging from 0.5% of fetal cardiac malformations to less than 0.1% of congenitally malformed hearts in clinico-pathological series. Approximately 130 cases have be...

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Aorto-Right Ventricular Tunnel in Transposition of the Great Arteries

Aorto-ventricular tunnel is an extremely rare congenital heart defect, consisting of failure of attachment of an aortic leaflet along the semilunar hinge. In all published reports the leaflet involved was either the right coronary leaflet, most frequently, or the left coronary leaflet, in most of the cases opening toward the left ventricle, with only one-eighth of the reported cases communicati...

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Aorto-right ventricular tunnel causing functional tricuspid atresia.

A girl with symmetrical intrauterine growth retardation and a birth weight of 2240 g was delivered at term by primary cesarean section to a 27-year-old primiparous woman. Fetal echocardiography had shown a nearly atretic tricuspid valve. Postnatally, the child stabilized rapidly but showed signs of heart failure with tachypnea and general weakness, as well as cyanosis (transcutaneous oxygen sat...

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A seven-year-old girl with clinical diagnosis of aortic insufficiency underwent echocardiographic and hemodynamic evaluation and referred for surgery with the same diagnosis. However, at surgery, aorto-Ieft ventricular tunnel was found and repaired successfully. Review of echocardiogram and catheterization data revealed interesting findings to differentiate this rare entity from congenital...

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ژورنال

عنوان ژورنال: The Korean Journal of Thoracic and Cardiovascular Surgery

سال: 2016

ISSN: 2233-601X,2093-6516

DOI: 10.5090/kjtcs.2016.49.4.295