Aorto-left ventricular tunnel originating from the left coronary sinus with aortic aneurysm in an 11-year-old boy

Aorto-left ventricular tunnel, characterized by extracardiac communication between the ascending aorta and left ventricle, is a very rare congenital condition. Although some affected infants remain asymptomatic until adulthood, most present with symptoms of heart failure during their first year of l...

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Bibliographic Details
Published in:Texas Heart Institute journal 2013, Vol.40 (1), p.91-94
Main Authors: Yildirim, Ayse, Erek, Ersin, Uslu, Zulal, Saygili, Arda, Karaagac, Aysu Turkmen
Format: Article
Language:English
Subjects:
Abnormalities, Multiple
Aorta - abnormalities
Aorta - surgery
Aortic Aneurysm - diagnosis
Aortic Aneurysm - etiology
Aortic Aneurysm - surgery
Aortography - methods
Blood Vessel Prosthesis Implantation
Cardiac Surgical Procedures
Case Reports
Child
Coronary Sinus - abnormalities
Coronary Sinus - surgery
Echocardiography, Doppler, Color
Echocardiography, Transesophageal
Heart Defects, Congenital - complications
Heart Defects, Congenital - diagnosis
Heart Defects, Congenital - surgery
Heart Ventricles - abnormalities
Heart Ventricles - surgery
Humans
Male
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Aorto-left ventricular tunnel, characterized by extracardiac communication between the ascending aorta and left ventricle, is a very rare congenital condition. Although some affected infants remain asymptomatic until adulthood, most present with symptoms of heart failure during their first year of life. We report the case of an 11-year-old boy who had coexisting abnormalities: an aorto-left ventricular tunnel originating from the left coronary sinus, and an ascending aortic aneurysm. The patient underwent on-pump surgical correction and was in New York Heart Association functional class I status a year later. We also review the nature of this rare condition.
ISSN:0730-2347
1526-6702