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Updated: Aug 11, 2026

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Aortico-left ventricular tunnel with natal cardiac failure
Aortico-left ventricular tunnel is a rare congenital heart defect causing severe cardiac failure in infants. Early diagnosis via aortography and surgical intervention are crucial for management.
Area of Science:
- Cardiology
- Pediatric Surgery
- Congenital Heart Disease
Background:
- Aortico-left ventricular tunnel is a rare congenital anomaly.
- Presents with severe cardiac failure and shock in neonates.
Observation:
- A case of a 1-day-old girl with aortico-left ventricular tunnel is presented.
- Clinical, hemodynamic, and imaging findings are detailed.
- Literature review of 21 additional cases.
Findings:
- Aortography is diagnostic, revealing a supravascular aortic channel connected to the left ventricle.
- Signs of aortic insufficiency are key indicators in infants and children.
- Surgical treatment is definitive but residual aortic insufficiency is common.
Implications:
- Highlights the importance of considering aortico-left ventricular tunnel in neonates with cardiac compromise.
- Emphasizes the diagnostic utility of aortography.
- Underscores the challenges in complete surgical correction and long-term management.
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