Abstract
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.
MeSH terms
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Aorta / abnormalities*
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Aorta / diagnostic imaging
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Aorta / surgery
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Aortic Valve Insufficiency / diagnostic imaging
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Cardiac Volume / physiology
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Cardiomegaly / therapy
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Child
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Coronary Vessels / diagnostic imaging
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Dilatation, Pathologic / diagnostic imaging
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Echocardiography
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Echocardiography, Doppler
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Echocardiography, Transesophageal
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Follow-Up Studies
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Heart Defects, Congenital / diagnostic imaging
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Heart Defects, Congenital / surgery*
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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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Male
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Pericardium / transplantation
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Sinus of Valsalva / abnormalities*
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Sinus of Valsalva / diagnostic imaging
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Sinus of Valsalva / surgery
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Transplantation, Autologous
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Ventricular Dysfunction, Left / therapy