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Related Experiment Video

Updated: Jul 23, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

Aortic-right atrial tunnel.

Fernando Moraes¹, Cleusa Lapa Santos, Carlos R Moraes

¹Heart Institute of Pernambuco, Real Hospital Português, Institute of Mother and Child of Pernambuco (IMIP), Recife, Brazil.

Cardiology in the Young

|July 9, 2004

Summary

A rare congenital heart defect, a right atrial-aortic tunnel, was found in an asymptomatic infant. Surgical repair was successful, highlighting the importance of early diagnosis and intervention for this uncommon condition.

Area of Science:

Cardiology
Pediatric Cardiology
Congenital Heart Disease

Background:

Congenital heart anomalies are a significant cause of morbidity and mortality in infants.
Right atrial-aortic tunnel is an extremely rare cardiovascular malformation.

Observation:

An asymptomatic 1-year-old boy presented with a continuous murmur.
Diagnostic imaging, including echocardiography and aortography, revealed a tunnel connecting the right atrium to the aorta.

Findings:

The patient was diagnosed with a rare right atrial-aortic tunnel.
Surgical intervention successfully interrupted the abnormal connection.

Implications:

This case underscores the importance of thorough cardiovascular evaluation in pediatric patients with murmurs.

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Early diagnosis and surgical management of rare congenital heart defects can lead to favorable outcomes.