Document Detail

Aortico-left ventricular tunnel: two new cases with a long-term follow-up.
MedLine Citation:
PMID:  11577838     Owner:  NLM     Status:  MEDLINE    
Aortico-left ventricular tunnel is a rare congenital communication between the ascending aorta and the left ventricle. Its hemodynamic effect is severe aortic incompetence. Surgery is the only treatment and should be performed before aortic incompetence or ventricular dilation develops. Two neonates with aortico-left ventricular tunnel were operated on at our institution, with closure of the aortic end of the tunnel with a Gore-Tex patch. The 2 patients were discharged in good conditions, and at 112 and 42-month follow-up respectively they are in good health, without medication and with a normal echocardiographic pattern. Aortico-left ventricular tunnel should be treated surgically as soon as possible in order to prevent any damage to the aortic valve and the left ventricle. The operative risk is not low, but results are very encouraging.
C Pace Napoleone; G Gargiulo; A Pierangeli
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Italian heart journal : official journal of the Italian Federation of Cardiology     Volume:  2     ISSN:  1129-471X     ISO Abbreviation:  Ital Heart J     Publication Date:  2001 Aug 
Date Detail:
Created Date:  2001-10-01     Completed Date:  2002-01-09     Revised Date:  2010-01-04    
Medline Journal Info:
Nlm Unique ID:  100909716     Medline TA:  Ital Heart J     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  624-6     Citation Subset:  IM    
Department of Cardiac Surgery, University of Bologna, Italy.
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MeSH Terms
Aortic Valve / abnormalities*
Aortic Valve Insufficiency / etiology
Coronary Vessels / pathology
Dilatation, Pathologic
Heart Defects, Congenital / surgery*
Heart Ventricles / abnormalities*
Infant, Newborn
Prostheses and Implants

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