title: Aneurysmal aorto-right ventricular tunnel.
abstract: A successful closure of an aneurysmal aorto-right ventricular tunnel (ARVT) in a 16-year-old male patient is reported here. An attempt at device closure had failed in this patient. Diagnosis was confirmed by Doppler echocardiography, 3-dimensional computed tomography, and cardiac catheterization. Surgical closure with a Dacron patch (W.L. Gore & Associates, Flagstaff, AZ) at the aortic end and direct closure at the ventricular end was done successfully with the patient under mild hypothermia. The postoperative echocardiogram showed a competent aortic valve with a closed ARVT.
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, CSM Medical University, Lucknow, India. doctorsushil@hotmail.com
authors.forename: Sushil Kumar
authors.initials: SK
authors.lastname: Singh
authors.forename: Sudhanshu Kumar
authors.initials: SK
authors.lastname: Dwivedi
authors.forename: Ambrish
authors.initials: A
authors.lastname: Kumar
authors.forename: Sudarshan Kumar
authors.initials: SK
authors.lastname: Vijay
authors.forename: Nitin
authors.initials: N
authors.lastname: Rajput
authors.forename: Vijyant
authors.initials: V
authors.lastname: Devenraj
authors.forename: Jeevan
authors.initials: J
authors.lastname: Lal Sahni
mesh_terms: D000293:Adolescent; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D006328:Cardiac Catheterization; D002315:Cardiopulmonary Bypass; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000601:surgery*; D015150:Echocardiography, Doppler; D006322:Heart Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D006352:Heart Ventricles / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007036:Hypothermia, Induced; D021621:Imaging, Three-Dimensional; D008297:Male; D010496:Pericardium; D011093:Polyethylene Terephthalates; D012850:Sinus of Valsalva / Q000002:abnormalities* / Q000601:surgery; D013526:Surgical Mesh; D013536:Suture Techniques; D036542:Tomography, Spiral Computed
chemical_list: D011093:Polyethylene Terephthalates