title: Aneurysmal aorto-left ventricular tunnel causing right ventricular outflow tract obstruction, associated with bicuspid aortic valve.
abstract: We report the case of a newborn with an aneurysmal aorto-left ventricular tunnel causing significant paravalvular aortic regurgitation and obstruction of the right ventricular outflow tract (RVOT), coexisting with a bicuspid aortic valve. The coexistence of the two malformations together with the obstruction of the RVOT is very rare. In this case, the prompt diagnosis and surgery led to significant improvement of the clinical status and to recovery of the left ventricular function (increase of the ejection fraction from 21 to 41 %), underlining the importance of early diagnosis in this rare malformation.
authors.affiliation: University of Medicine and Pharmacy Tirgu Mures, Tirgu Mures, Romania.
authors.forename: Rodica
authors.initials: R
authors.lastname: Toganel
authors.forename: Theodora
authors.initials: T
authors.lastname: Benedek
authors.forename: Carmen
authors.initials: C
authors.lastname: Suteu
authors.forename: Imre
authors.initials: I
authors.lastname: Benedek
mesh_terms: D001021:Aortic Valve / Q000002:abnormalities; D001022:Aortic Valve Insufficiency; D000082882:Bicuspid Aortic Valve Disease; D003937:Diagnosis, Differential; D006322:Heart Aneurysm / Q000601:surgery; D006330:Heart Defects, Congenital / Q000150:complications* / Q000000981:diagnostic imaging*; D006349:Heart Valve Diseases; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D014463:Ultrasonography; D014694:Ventricular Outflow Obstruction / Q000209:etiology*