Surgical treatment of aortico-left ventricular tunnel

P. Horváth, Seshadri Balaji, S. Škovránek, B. Hučin, M. R. de Leval, J. Stark

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Thirteen children (age range 6 h-11 years, median 4 months) operated upon for aortico-left ventricular tunnel since 1971 are reported. All patients had systolic and diastolic murmurs, 4 of 5 neonates were in severe congestive heart failure. Twelve children had left ventricular hypertrophy on ECG with an ischaemic pattern in the neonates. Chest X-ray revealed cardiomegaly with a broad upper mediastinal shadow from the enlarged aorta. Echocardiography (2DE) revealed a tubular communication between the aorta and the left ventricle bypassing the aortic valve and massive regurgitation through this tunnel demonstrated by Doppler sonography. In 8 patients, the diagnosis was confirmed by angiography. The tunnel arose from the right coronary sinus in 12 and from the left coronary sinus in 1 patient. The tunnel was closed at both ends in 8, at the aortic end only in 3 and at the ventricular end in the remaining 2 cases. One 6-day-old infant, operated upon in 1971 died postoperatively. There was 1 non-cardiac related late death due to a brain tumour. Echocardiographic analysis of left ventricular size and function was carried out in 9 children up to 39 months after surgery. Mild to moderate aortic incompetence was detected during the follow-up period in 2 of 12 patients. All surviving children are leading normal lives.

Original languageEnglish (US)
Pages (from-to)113-117
Number of pages5
JournalEuropean Journal of Cardio-thoracic Surgery
Volume5
Issue number3
StatePublished - 1991
Externally publishedYes

Fingerprint

Aortic Valve Insufficiency
Coronary Sinus
Aorta
Newborn Infant
Systolic Murmurs
Heart Murmurs
Doppler Ultrasonography
Cardiomegaly
Left Ventricular Hypertrophy
Therapeutics
Left Ventricular Function
Brain Neoplasms
Heart Ventricles
Echocardiography
Angiography
Electrocardiography
Thorax
Heart Failure
Communication
X-Rays

Keywords

  • Aortico-left ventricular tunnel
  • Cardiac surgery
  • Echocardiography
  • Follow-up
  • Paediatric

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

Horváth, P., Balaji, S., Škovránek, S., Hučin, B., de Leval, M. R., & Stark, J. (1991). Surgical treatment of aortico-left ventricular tunnel. European Journal of Cardio-thoracic Surgery, 5(3), 113-117.

Surgical treatment of aortico-left ventricular tunnel. / Horváth, P.; Balaji, Seshadri; Škovránek, S.; Hučin, B.; de Leval, M. R.; Stark, J.

In: European Journal of Cardio-thoracic Surgery, Vol. 5, No. 3, 1991, p. 113-117.

Research output: Contribution to journalArticle

Horváth, P, Balaji, S, Škovránek, S, Hučin, B, de Leval, MR & Stark, J 1991, 'Surgical treatment of aortico-left ventricular tunnel', European Journal of Cardio-thoracic Surgery, vol. 5, no. 3, pp. 113-117.
Horváth P, Balaji S, Škovránek S, Hučin B, de Leval MR, Stark J. Surgical treatment of aortico-left ventricular tunnel. European Journal of Cardio-thoracic Surgery. 1991;5(3):113-117.
Horváth, P. ; Balaji, Seshadri ; Škovránek, S. ; Hučin, B. ; de Leval, M. R. ; Stark, J. / Surgical treatment of aortico-left ventricular tunnel. In: European Journal of Cardio-thoracic Surgery. 1991 ; Vol. 5, No. 3. pp. 113-117.
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