Abstract
We present a case of an infant prenatally diagnosed with bilateral outflow-tract obstruction and severe aortic regurgitation who underwent cardiac transplantation at 45 days of life. Aortico-left ventricular tunnel was subsequently diagnosed on pathologic examination of the explant heart. Aortico-left ventricular tunnel is a rare congenital cardiac malformation and can remain undiagnosed if the clinician has a low level of suspicion. Aortico-left ventricular tunnel should be considered in any fetus or newborn with aortic regurgitation.
MeSH terms
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Abnormalities, Multiple / diagnosis*
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Abnormalities, Multiple / surgery
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Aorta, Thoracic / abnormalities*
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Aorta, Thoracic / diagnostic imaging
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Aorta, Thoracic / surgery
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Aortic Valve Insufficiency / congenital
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Aortic Valve Insufficiency / diagnosis*
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Aortic Valve Insufficiency / surgery
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Cardiac Surgical Procedures
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Diagnosis, Differential
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Fatal Outcome
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Female
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Fetal Diseases / diagnostic imaging
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Heart Ventricles / abnormalities*
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Heart Ventricles / diagnostic imaging
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Heart Ventricles / surgery
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Humans
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Infant, Newborn
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Pregnancy
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Ultrasonography, Prenatal / methods*
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Ventricular Outflow Obstruction / congenital
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Ventricular Outflow Obstruction / diagnosis*
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Ventricular Outflow Obstruction / surgery