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Ann Thorac Surg 1992;54:557-559
© 1992 The Society of Thoracic Surgeons

Articles

Repair of aortico-left ventricular tunnel associated with subpulmonary obstruction

Christopher J. Knott-Craig, MMed(Thor)*, Pieter L. van der Merwe, MD, Neale N. Kalis, MMed(Ped), Joan Hunter, MMed(Ped)

Departments of Cardiothoracic Surgery and Paediatric Cardiology, University of Stellenbosch and Tygerberg Hospital, Tygerberg, Republic of South Africa

Accepted for publication December 16, 1991.

* Address reprint requests to Dr Knott-Craig, Section of Thoracic and Cardiovascular Surgery, University of Oklahoma Health Sciences Center, PO Box 26901, Oklahoma City, OK 73190.

Aortico-left ventricular tunnel is a rare congenital cardiac defect. Because the tunnel traverses the upper portion of the interventricular septum, the potential exists for an aneurysmal tunnel to obstruct the outflow of the right ventricle. We report our clinical experience with such a patient, and emphasize the importance of a two-patch technique to avoid its occurrence.




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