title: [Successful surgical management of aortico-left ventricular tunnel using modern noninvasive diagnostic imaging methods].
abstract: Aortico-left ventricular tunnel is a rare congenital cardiac defect, which bypasses the aortic valve via the paravalvar connection from the aorta to the left ventricle. The authors present the case of a 14-year-old boy with aortico-left ventricular tunnel in whom the aortic orifice arose from the right aortic sinus and was closed by a pericardial patch. The diagnosis was confirmed by combined two-dimensional and real time three-dimensional echocardiogram and magnetic resonance imaging. This is the first case, in which these complex diagnostic imaging methods have been used in the pre- and postoperative management of this defect. Optimally the new transthoratic three-dimensional echocardiography would be needed to define the anatomy and functional consequences of the aortico-left ventricular tunnel and in the postoperative follow-up.
authors.affiliation: Kardiológiai Központ, Szívsebészeti Osztály Szegedi Tudományegyetem, Szent-Györgyi Albert Orvostudományi Központ Szeged, Pécsi út 6., 6720.
authors.forename: István
authors.initials: I
authors.lastname: Hartyánszky
authors.forename: Márta
authors.initials: M
authors.lastname: Katona
authors.forename: Krisztina
authors.initials: K
authors.lastname: Kádár
authors.forename: Asztrid
authors.initials: A
authors.lastname: Apor
authors.forename: Sándor
authors.initials: S
authors.lastname: Varga
authors.forename: Judit
authors.initials: J
authors.lastname: Simon
authors.forename: Attila
authors.initials: A
authors.lastname: Tóth
authors.forename: Tünde
authors.initials: T
authors.lastname: Karácsony
authors.forename: Gábor
authors.initials: G
authors.lastname: Bogáts
mesh_terms: D000293:Adolescent; D001011:Aorta / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006439:Hemodynamics; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male
keywords: 3D echokardiográfia; aorta–bal kamra tunnel; aortico-left ventricular tunnel; real time three-dimensional echocardiogram