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Diagnosis and management of aorto-left ventricular tunnel

Pallavi Kathare1, Rama G Subramanyam2, Tapan Kumar Dash3

  • 1Department of Cardiac Surgery, Gutti, Consultant Pediatric Cardiologist, Care Hospital, Hyderabad, Telangana, India.

Annals of Pediatric Cardiology
|June 19, 2015
PubMed

Insights

Aorto-left ventricular tunnel (ALVT) is a rare congenital heart defect requiring prompt surgical correction. Surgical intervention offers the best outcomes for this potentially fatal anomaly, while catheter closure has limited efficacy.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Pediatric Cardiology

Background:

  • Aorto-left ventricular tunnel (ALVT) is a rare congenital extracardiac channel.
  • ALVT can lead to progressive left ventricular dilatation and heart failure.
  • Early correction is crucial for managing ALVT.

Purpose of the Study:

  • To report the diagnosis and management of aorto-left ventricular tunnel (ALVT).
  • To evaluate treatment outcomes for ALVT over an 11-year period.
  • To compare surgical and transcatheter closure methods for ALVT.

Main Methods:

  • Retrospective analysis of seven patients with ALVT.
  • Diagnosis confirmed by transthoracic echocardiogram.
  • Evaluation of surgical and transcatheter closure techniques.

Main Results:

  • Two patients refused treatment and died.
  • Four patients underwent surgical closure; one required a Bentall procedure.
  • Transcatheter closure had limited success, with one case requiring surgical revision due to hemolysis.

Conclusions:

  • Aorto-left ventricular tunnel (ALVT) is a rare, potentially fatal anomaly.
  • Surgical management is the preferred treatment for ALVT.
  • Transcatheter closure has a limited role in ALVT management.
Abstract

Keywords:
Aortic diseaseaortico- left ventricular tunnelcongenital heart defectnon valvular aortic regurgitation

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