Abstract
Aortico-left ventricular tunnel (ALVT) is a rare congenital malformation in which an abnormal communication between the aorta and the ventricle (LV) bypasses the aortic valve. In infants, it usually presents with congestive heart failure. The clinical presentation mimic aortic regurgitation or ruptured sinus of Valsalva aneurysm into the LV. Progressive aortic regurgitation is a common problem in patients with ALVT. ALVT associated with a single coronary artery is extremely rare. We report tha case of an infant who has congestive heart failure caused by ALVT. The diagnosis was made by echocardiography and angiography. In addition, a single coronary artery from the noncoronary cusp was found during surgery. Congestive heart failure resolved after successful surgical repair and he was asymptomatic throughout 2 years of follow-up. This case illustrates that early diagnosis of ALVT and corrective surgery can prevent aortic valve incompetence and is associated with a good clinical outcome.
| Original language | English |
|---|---|
| Pages (from-to) | 786-789 |
| Number of pages | 4 |
| Journal | Journal of the Formosan Medical Association |
| Volume | 101 |
| Issue number | 11 |
| State | Published - 01 11 2002 |
| Externally published | Yes |
Keywords
- Aortico-left ventricular tunnel
- Congestive heart failure
- Single coronary artery