title: Surgical repair of aortico-left ventricular tunnel arising from the left aortic sinus.
abstract: Aortico-left ventricular tunnel is a rare congenital cardiac defect, which bypasses the aortic valve via the paravalvar connection from the left ventricle to the aorta. In most of the cases, the tunnel arises from the right aortic sinus. We herein report a case of aortico-left ventricular tunnel, of which the aortic orifice was arising from the left aortic sinus, requiring special attention for avoiding left coronary artery injury at the time of surgical repair.
authors.affiliation: Division of Cardiac, Thoracic, Transplantation, and Vascular Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany. Ono.Masamichi@MH-Hannover.de
authors.forename: Masamichi
authors.initials: M
authors.lastname: Ono
authors.forename: Heidi
authors.initials: H
authors.lastname: Goerler
authors.forename: Dietmar
authors.initials: D
authors.lastname: Boethig
authors.forename: Thomas
authors.initials: T
authors.lastname: Breymann
mesh_terms: D000015:Abnormalities, Multiple / Q000473:pathology / Q000601:surgery*; D001011:Aorta / Q000002:abnormalities / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000009:adverse effects; D017023:Coronary Angiography; D018618:Echocardiography, Doppler, Color; D006330:Heart Defects, Congenital / Q000150:complications / Q000473:pathology / Q000601:surgery*; D006352:Heart Ventricles / Q000002:abnormalities / Q000601:surgery; D006801:Humans; D007223:Infant; D012720:Severity of Illness Index; D012850:Sinus of Valsalva / Q000002:abnormalities / Q000601:surgery*; D016896:Treatment Outcome