Aortic atresia with aortico-left ventricular tunnel mimicking severe aortic incompetence in utero

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Matthias SiepeChristian Schlensak

Abstract

A fetus was diagnosed with regurgitation from the aorta into the left ventricle. A large aortico-left ventricular tunnel with aortic atresia was identified postnatally by echocardiography in a neonate suffering from severe heart failure. We successfully reconstructed the valve and closed the tunnel with a patch on his first day of life. At three-month follow-up, the baby is asymptomatic with mild aortic regurgitation. The combination of congenital aortico-left ventricular tunnel and aortic atresia can be misinterpreted in prenatal echocardiography as aortic regurgitation. This pathology may require urgent operative interventions.

Citations

Oct 10, 2007·Orphanet Journal of Rare Diseases·Roxane McKay
Jan 5, 2013·Pediatric and Developmental Pathology : the Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society·Jefferson TerryMalgorzata J M Nowaczyk
Apr 1, 2013·Journal of Medical Ultrasonics·Takashi Horinouchi, Junji Ishimatsu
Nov 13, 2007·Prenatal Diagnosis·Irene PascoliDelia Maria Paternoster
Jan 8, 2021·World Journal for Pediatric & Congenital Heart Surgery·Ujjwal Kumar ChowdhuryPrateek Vaswani

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