1. [Successful surgical management of aortico-left ventricular tunnel using modern noninvasive diagnostic imaging methods]
- Author
-
István, Hartyánszky, Márta, Katona, Krisztina, Kádár, Asztrid, Apor, Sándor, Varga, Judit, Simon, Attila, Tóth, Tünde, Karácsony, and Gábor, Bogáts
- Subjects
Heart Defects, Congenital ,Male ,Adolescent ,Heart Ventricles ,Aortic Valve Insufficiency ,Echocardiography, Three-Dimensional ,Hemodynamics ,Humans ,Magnetic Resonance Imaging ,Aorta ,Echocardiography, Transesophageal - 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.
- Published
- 2015