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Ann Thorac Surg 1998;65:1780-1783
© 1998 The Society of Thoracic Surgeons

Case Report

Repair of Aortico–Left Ventricular Tunnel Originating From the Left Aortic Sinus

Guido Michielon, MDa, Carlo Sorbara, MDb, Dino Carlo Casarotto, MDa

a Department of Cardiac Surgery, University of Padua Medical School, Padua, Italy
b Department of Cardiovascular Anesthesia, University of Padua Medical School, Padua, Italy

Accepted for publication December 24, 1997.

Address reprint requests to Dr Michielon, Division of Cardiac Surgery, Venice-Mirano, Via Mariutto 13, 30035 Venice-Mirano, Italy

We report on a case of an 11-year-old asymptomatic child with aortico–left ventricular tunnel arising from the left aortic sinus. Preoperative transesophageal echocardiography showed a dilated aortic root with mild aortic valve incompetence and demonstrated the course of the tunnel, which originated from the left coronary sinus entering the outlet portion of the left ventricular outflow tract. Patch closure of the aortic end of the tunnel eliminated left ventricular volume overload with immediate marked reduction of cardiomegaly. At 10-month follow-up the child is asymptomatic and receiving no oral medications. Control two-dimensional Doppler echocardiography shows trivial central aortic valve incompetence.




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M. Ono, H. Goerler, D. Boethig, and T. Breymann
Surgical repair of aortico-left ventricular tunnel arising from the left aortic sinus
Interactive CardioVascular and Thoracic Surgery, June 1, 2008; 7(3): 510 - 511.
[Abstract] [Full Text] [PDF]


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