PMID: 3753078Sep 1, 1986Paper

Aortico-left ventricular tunnel: late follow-up

The Annals of Thoracic Surgery
W Meldrum-HannaD N Ross

Abstract

Since 1970, 6 patients have undergone repair of aortico-left ventricular tunnel. Four (67%) had repair in childhood. The technique of closure was by direct suture (5 patients) or patch closure (1 patient). Associated anomalies were seen in 5 patients (83%); absent right coronary ostium (1), commissural fusion (stenosis) (2), valvular regurgitation (3), leaflet defects (2), and healed endocarditis (1). All patients survived operation. At early postoperative review, 67% had mild aortic regurgitation regardless of the technique of surgical repair. Late follow-up revealed that 3 patients (50%) underwent aortic valve replacement (AVR) for progressive aortic regurgitation at a mean of 10 years following initial operation. A review of the literature and our results lead us to conclude that progressive aortic regurgitation is common; it is due to associated valve abnormalities and changes in the valve mechanism secondary to the aortico-left ventricular tunnel. Long-term clinical follow-up is necessary, since 50% of patients will require AVR eventually. Early operation is indicated not only to prevent heart failure but also to prevent progression of damage to the aortic valve.

References

Sep 1, 1985·British Heart Journal·P RibeiroC M Oakley
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Citations

Mar 8, 2011·Pediatric Cardiology·Anju SinghShree Vishna Rasiah
Mar 15, 1991·Journal of the American College of Cardiology·N SreeramK Walsh
Dec 15, 2005·Heart, Lung & Circulation·U K ChowdhuryB Airan
Oct 10, 2007·Orphanet Journal of Rare Diseases·Roxane McKay
Jun 27, 2006·Circulation Journal : Official Journal of the Japanese Circulation Society·Osami HonjoShunji Sano
Mar 25, 2010·Journal of Cardiac Surgery·Mohammad Hassan NezafatiNahid Zirak
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Jul 5, 2008·Journal of Cardiac Surgery·Roland HenaineJean-René Lusson
Jan 1, 1988·Scandinavian Journal of Thoracic and Cardiovascular Surgery·H LindbergT Pedersen
Jul 21, 2004·Journal of the American College of Cardiology·Jose D MartinsJohn F Keane
Feb 23, 2013·Asian Cardiovascular & Thoracic Annals·Shuichi ShiraishiMasanori Tsuchida
Nov 4, 2017·Journal of Cardiac Surgery·Jaclyn N Portelli TremontLeonard Y Lee
Mar 9, 2018·Frontiers in Pediatrics·Antonio F CornoRobert H Anderson
Nov 26, 2020·Interactive Cardiovascular and Thoracic Surgery·Jing SunXiangyang Qian
Jan 8, 2021·World Journal for Pediatric & Congenital Heart Surgery·Ujjwal Kumar ChowdhuryPrateek Vaswani
Mar 25, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Yu LiangKunjing Pang

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