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Aorto-left ventricular tunnel in association with hypoplastic left heart syndrome—recognition by transesophageal and transthoracic echocardiography

Published online by Cambridge University Press:  19 August 2008

Einat Birk ,
Norman H. Silverman  and
Bernardo A. Vidne
Einat Birk
Affiliation:
From the Departments of Pediatrics and Cardiothoracic Surgery, Children's Medical Center of Israel and Beilinson Hospital, Petach Tiqvah
Norman H. Silverman*
Affiliation:
From the Departments of Pediatrics and Cardiothoracic Surgery, Children's Medical Center of Israel and Beilinson Hospital, Petach Tiqvah
Bernardo A. Vidne
Affiliation:
From the Departments of Pediatrics and Cardiothoracic Surgery, Children's Medical Center of Israel and Beilinson Hospital, Petach Tiqvah
*
Dr. Norman H. Silverman, Echocardiography Laboratory, 521 Parnassus Avenue, San Francisco, CA 94 143-0214, USA. Tel. (415) 476-5887; Fax. (415) 476-5875.
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Abstract

We describe a neonate who presented with aortic atresia, a hypoplastic left ventricle and aorto-left ventricular tunnel. These findings, recognized by transthoracic and transesophageal cross-sectional echocardiography complemented by Doppler color flow imaging, were confirmed at surgery by direct inspection. This complex of associations has not been described before and suggests a primary abnormality of the left ventricle because diastolic filling from the aorto-left venticular tunnel and mitral flow should tend to ensure fetal left ventricular growth.

Keywords

Aortic atresiaultrasoundDoppler color flow imaging
Type
Brief Reports
Information
Cardiology in the Young , Volume 5 , Issue 2 , April 1995 , pp. 190 - 193
Copyright
Copyright © Cambridge University Press 1995

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References

Levy, MJ, Schacher, A, Blieden, LC.Aortico-left ventricular tunnel. Collective review. J Thorac Cardiovasc Surg 1982; 84: 102–109.CrossRefGoogle ScholarPubMed
Freedom, RM, Cullham, JAG, Moes, CAF.Angiography of Congenital Heart Disease. MacMillan, New York, 1984, pp 422–424.Google Scholar
Turley, K, Silverman, NH, Teitel, D, Mavroudis, C, Snider, AR, Rudolph, AM.Repair of aortico-left ventricular tunnel in the neonate: Surgical, anatomic, and echocardiographic considerations Circulation 1983; 68: 2–10.Google Scholar
Perry, JC, Nanda, NC, Hicks, DG, Harris, JP,. Two-dimensional echocardiographic indentification of aortico-left ventricualr tunnel. Am J Cardiol 1983; 52: 913–914.CrossRefGoogle Scholar
Fripp, RR,Werner, J,Whitman, V,Nordenberg, A, Waldhausen, JA.Pulsed Doppler and two-dimensional echocardiographic findings on aortico-left ventricular tunnel. J Am Coll Cardiol 1984; 4: 1012–1014.CrossRefGoogle ScholarPubMed
Bash, SE, Huhta, JC, Nihil, MR, Varg, TA, Hallman, GL.Aortico-left ventricualr tunnel with ventricular septal defect: Two-dimensional/Doppler echocardiographic diagnosis.J Am Coll Cardiol 1985; 5: 757–760.CrossRefGoogle Scholar
Humes, RA, Haggler, DJ, Jarlsrud, PR, Levy, J M, Feldt, RH, Schaff, HV.Aortico-left ventricular tunnel: diagnosis based on two-dimensional echocardiongraphy, color flow Doppler imaging and magnetic resonance imaging. Mayo Clin Proc 1986; 61: 901–907.CrossRefGoogle ScholarPubMed
Webber, S, Johnston, B, LeBlanc, J, Patterson, M.. Aortico-left ventricular tunnel associated with critical aortic stenosis in the newborn. Pediatr Cardiol 1991; 12: 237–240.CrossRefGoogle ScholarPubMed