Late Outcome After Repair of Aortico-Left Ventricular Tunnel 10-Year Follow-up
| Autor: | Masaaki Kawada, Osami Honjo, Kozo Ishino, Shunji Sano, Teiji Akagi, Shin Ichi Ohtsuki |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Surgical repair
medicine.medical_specialty business.industry General Medicine medicine.disease Surgery Aortic orifice Aortic aneurysm Aneurysm medicine.anatomical_structure Internal medicine cardiovascular system medicine Cardiology Ventricular pressure Deformity Ventricular outflow tract cardiovascular diseases medicine.symptom Cardiology and Cardiovascular Medicine business Sinus (anatomy) |
| Zdroj: | Circulation Journal. 70:939-941 |
| ISSN: | 1347-4820 1346-9843 |
| DOI: | 10.1253/circj.70.939 |
| Popis: | Despite successful surgical repair, patients with congenital aortico-left ventricular tunnel (ALVT) are at risk of developing aortic incompetence in the late postoperative period. Two cases of ALVT were followed for 10 years with special reference to aortic incompetence and geometry of the aortic root. The patients underwent repair of ALVT, one at 4 years of age and the other at 4 months of age. The first patient had a slit-like tunnel (type I) and the aortic orifice was closed with a pericardial patch. The second patient had a large tunnel with an extracardiac aneurysm (type II) and was closed with a pericardial patch at the aortic orifice and a Dacron patch at the left ventricular orifice, thereby completely obliterating the tunnel. The last echocardiographic evaluation showed no residual flow in the tunnel and no aortic incompetence in case 1, but there was mild aortic valvular regurgitation with deformity of the right sinus in case 2. Careful long-term follow-up is necessary because patients with ALVT have some inherent structural abnormalities from the left ventricular outflow tract to the aortic root. |
| Databáze: | OpenAIRE |
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