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2015, Number 1

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Acta Pediatr Mex 2015; 36 (1)

Left aorto-ventricular tunnel with aortic insufficiency. Case report and literature review

Méndez-Santos JE, Osnaya-Martínez H, Bobadilla-Aguirre A

Language: Spanish
References: 9
Page: 26-31
PDF size: 735.07 Kb.


ABSTRACT

The left aorto-ventricular tunnel is a congenital condition that connects the ascending aorta above the sinotubular junction to the left ventricular cavity. Its incidence is 0.001% of all congenital heart disease. There are only about 130 cases reported in the literature. Although its etiology is unknown, one hypothesis is the result of a defective incorporation of bulbus cordis. The diagnosis is suspected based on physical examination and echocardiography findings. The treatment of choice is surgical trough closure of aorto-ventricular tunnel. We report the case of an 11 year old male with left aorto-ventricular tunnel with severe aortic regurgitation treated with tunnel closure at the aortic end aortic valve prosthetic replacement.


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