Late outcome after repair of aortico-left ventricular tunnel - 10-Year follow-up

Osami Honjo, Kozo Ishino, Masaaki Kawada, Shin-ichi Ohtsuki, Teiji Akagi, Shunji Sano

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Despite successful surgical repair, patients with congenital aortico-left ventricular tunnel (ALVT) are at risk of developing aortic incompetence in the late postoperative period. Two cases of ALVT were followed for 10 years with special reference to aortic incompetence and geometry of the aortic root. The patients underwent repair of ALVT, one at 4 years of age and the other at 4 months of age. The first patient had a slit-like tunnel (type I) and the aortic orifice was closed with a pericardial patch. The second patient had a large tunnel with an extracardiac aneurysm (type II) and was closed with a pericardial patch at the aortic orifice and a Dacron patch at the left ventricular orifice, thereby completely obliterating the tunnel. The last echocardiographic evaluation showed no residual flow in the tunnel and no aortic incompetence in case 1, but there was mild aortic valvular regurgitation with deformity of the right sinus in case 2. Careful long-term follow-up is necessary because patients with ALVT have some inherent structural abnormalities from the left ventricular outflow tract to the aortic root.

Original languageEnglish
Pages (from-to)939-941
Number of pages3
JournalCirculation Journal
Volume70
Issue number7
DOIs
Publication statusPublished - 2006

Fingerprint

Aortic Valve Insufficiency
Polyethylene Terephthalates
Postoperative Period
Aneurysm

Keywords

  • Aortic root
  • Aortico-left ventricular tunnel
  • Congenital heart disease

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology

Cite this

Late outcome after repair of aortico-left ventricular tunnel - 10-Year follow-up. / Honjo, Osami; Ishino, Kozo; Kawada, Masaaki; Ohtsuki, Shin-ichi; Akagi, Teiji; Sano, Shunji.

In: Circulation Journal, Vol. 70, No. 7, 2006, p. 939-941.

Research output: Contribution to journalArticle

Honjo, Osami ; Ishino, Kozo ; Kawada, Masaaki ; Ohtsuki, Shin-ichi ; Akagi, Teiji ; Sano, Shunji. / Late outcome after repair of aortico-left ventricular tunnel - 10-Year follow-up. In: Circulation Journal. 2006 ; Vol. 70, No. 7. pp. 939-941.
@article{3e8f720f198d493499f11fce2b37b116,
title = "Late outcome after repair of aortico-left ventricular tunnel - 10-Year follow-up",
abstract = "Despite successful surgical repair, patients with congenital aortico-left ventricular tunnel (ALVT) are at risk of developing aortic incompetence in the late postoperative period. Two cases of ALVT were followed for 10 years with special reference to aortic incompetence and geometry of the aortic root. The patients underwent repair of ALVT, one at 4 years of age and the other at 4 months of age. The first patient had a slit-like tunnel (type I) and the aortic orifice was closed with a pericardial patch. The second patient had a large tunnel with an extracardiac aneurysm (type II) and was closed with a pericardial patch at the aortic orifice and a Dacron patch at the left ventricular orifice, thereby completely obliterating the tunnel. The last echocardiographic evaluation showed no residual flow in the tunnel and no aortic incompetence in case 1, but there was mild aortic valvular regurgitation with deformity of the right sinus in case 2. Careful long-term follow-up is necessary because patients with ALVT have some inherent structural abnormalities from the left ventricular outflow tract to the aortic root.",
keywords = "Aortic root, Aortico-left ventricular tunnel, Congenital heart disease",
author = "Osami Honjo and Kozo Ishino and Masaaki Kawada and Shin-ichi Ohtsuki and Teiji Akagi and Shunji Sano",
year = "2006",
doi = "10.1253/circj.70.939",
language = "English",
volume = "70",
pages = "939--941",
journal = "Circulation Journal",
issn = "1346-9843",
publisher = "Japanese Circulation Society",
number = "7",

}

TY - JOUR

T1 - Late outcome after repair of aortico-left ventricular tunnel - 10-Year follow-up

AU - Honjo, Osami

AU - Ishino, Kozo

AU - Kawada, Masaaki

AU - Ohtsuki, Shin-ichi

AU - Akagi, Teiji

AU - Sano, Shunji

PY - 2006

Y1 - 2006

N2 - Despite successful surgical repair, patients with congenital aortico-left ventricular tunnel (ALVT) are at risk of developing aortic incompetence in the late postoperative period. Two cases of ALVT were followed for 10 years with special reference to aortic incompetence and geometry of the aortic root. The patients underwent repair of ALVT, one at 4 years of age and the other at 4 months of age. The first patient had a slit-like tunnel (type I) and the aortic orifice was closed with a pericardial patch. The second patient had a large tunnel with an extracardiac aneurysm (type II) and was closed with a pericardial patch at the aortic orifice and a Dacron patch at the left ventricular orifice, thereby completely obliterating the tunnel. The last echocardiographic evaluation showed no residual flow in the tunnel and no aortic incompetence in case 1, but there was mild aortic valvular regurgitation with deformity of the right sinus in case 2. Careful long-term follow-up is necessary because patients with ALVT have some inherent structural abnormalities from the left ventricular outflow tract to the aortic root.

AB - Despite successful surgical repair, patients with congenital aortico-left ventricular tunnel (ALVT) are at risk of developing aortic incompetence in the late postoperative period. Two cases of ALVT were followed for 10 years with special reference to aortic incompetence and geometry of the aortic root. The patients underwent repair of ALVT, one at 4 years of age and the other at 4 months of age. The first patient had a slit-like tunnel (type I) and the aortic orifice was closed with a pericardial patch. The second patient had a large tunnel with an extracardiac aneurysm (type II) and was closed with a pericardial patch at the aortic orifice and a Dacron patch at the left ventricular orifice, thereby completely obliterating the tunnel. The last echocardiographic evaluation showed no residual flow in the tunnel and no aortic incompetence in case 1, but there was mild aortic valvular regurgitation with deformity of the right sinus in case 2. Careful long-term follow-up is necessary because patients with ALVT have some inherent structural abnormalities from the left ventricular outflow tract to the aortic root.

KW - Aortic root

KW - Aortico-left ventricular tunnel

KW - Congenital heart disease

UR - http://www.scopus.com/inward/record.url?scp=33745560855&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33745560855&partnerID=8YFLogxK

U2 - 10.1253/circj.70.939

DO - 10.1253/circj.70.939

M3 - Article

C2 - 16799253

AN - SCOPUS:33745560855

VL - 70

SP - 939

EP - 941

JO - Circulation Journal

JF - Circulation Journal

SN - 1346-9843

IS - 7

ER -