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  • Title: [Successful surgical management of aortico-left ventricular tunnel using modern noninvasive diagnostic imaging methods].
    Author: Hartyánszky I, Katona M, Kádár K, Apor A, Varga S, Simon J, Tóth A, Karácsony T, Bogáts G.
    Journal: Orv Hetil; 2015 Jul 12; 156(28):1140-3. PubMed ID: 26149507.
    Abstract:
    Aortico-left ventricular tunnel is a rare congenital cardiac defect, which bypasses the aortic valve via the paravalvar connection from the aorta to the left ventricle. The authors present the case of a 14-year-old boy with aortico-left ventricular tunnel in whom the aortic orifice arose from the right aortic sinus and was closed by a pericardial patch. The diagnosis was confirmed by combined two-dimensional and real time three-dimensional echocardiogram and magnetic resonance imaging. This is the first case, in which these complex diagnostic imaging methods have been used in the pre- and postoperative management of this defect. Optimally the new transthoratic three-dimensional echocardiography would be needed to define the anatomy and functional consequences of the aortico-left ventricular tunnel and in the postoperative follow-up.
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