title: Surgical repair of aortic regurgitation with left ventricular aneurysm diagnosed preoperatively as aortico-left ventricular tunnel.
abstract: Aortico-left ventricular tunnel (ALVT) is a rare congenital anomaly presenting abnormal connection between the ascending aorta and the left ventricle. In most reported cases, the aortic end of the tunnel is above the right coronary sinus. Cases of ALVT related to the left aortic sinus are extremely rare. We herein report a case diagnosed preoperatively as ALVT arising from the left aortic sinus. The actual diagnosis observed at surgery was aortic valve insufficiency with a left ventricular outflow tract aneurysm. We successfully performed aortic valve repair and plication of the left ventricular aneurysm.
authors.affiliation: Department of Cardiovascular Surgery, Chukyo Hospital, Aichi, Japan takafumi_terada@chukyo-hosp.jp.
authors.forename: Takafumi
authors.initials: T
authors.lastname: Terada
authors.affiliation: Department of Cardiovascular Surgery, Chukyo Hospital, Aichi, Japan.
authors.forename: Hajime
authors.initials: H
authors.lastname: Sakurai
authors.affiliation: Department of Cardiovascular Surgery, Chukyo Hospital, Aichi, Japan.
authors.forename: Toshimichi
authors.initials: T
authors.lastname: Nonaka
authors.affiliation: Department of Cardiovascular Surgery, Chukyo Hospital, Aichi, Japan.
authors.forename: Takahisa
authors.initials: T
authors.lastname: Sakurai
authors.affiliation: Department of Cardiovascular Surgery, Chukyo Hospital, Aichi, Japan.
authors.forename: Junya
authors.initials: J
authors.lastname: Sugiura
authors.affiliation: Department of Cardiovascular Surgery, Chukyo Hospital, Aichi, Japan.
authors.forename: Ryohei
authors.initials: R
authors.lastname: Otsuka
mesh_terms: D001011:Aorta / Q000000981:diagnostic imaging; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D003951:Diagnostic Errors; D017548:Echocardiography, Transesophageal; D006322:Heart Aneurysm / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006330:Heart Defects, Congenital / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D007223:Infant; D008297:Male
keywords: aortico-left ventricular tunnel; congenital aortic insufficiency; congenital left ventricular aneurysm