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Ann Thorac Surg 1998;66:1793-1795
© 1998 The Society of Thoracic Surgeons

Case Reports

Aortico–right ventricular tunnel

Florentino J. Vargas, MDa, Alberto Molina, MDa, Juan C. Martinez, MDa, Maria E. Ranzini, MDa, Juan C. Vazquez, MDa

a Unit of Pediatric Cardiovascular Surgery, Hospital Italiano, Buenos Aires, Argentina

Accepted for publication May 18, 1998.

Address reprint requests to Dr Vargas, San Martín 1353, (1828)Banfield, Buenos Aires, Argentina

A successful operation on an infant with a tunnel through which the aorta communicated with the right ventricle is reported. The diagnosis was suspected preoperatively on the basis of two-dimensional Doppler color echocardiography and confirmed by cardiac catheterization. The aortico–right ventricular tunnel originated independently from the left coronary ostium and above the sinus of Valsalva. Patch closure from inside the tunnel under deep hypothermia was successfully performed. Follow-up is satisfactory 5 years later.




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