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Matthias Siepe
Friedhelm Beyersdorf
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Eur J Cardiothorac Surg 2006;29:845-847
© 2006 Elsevier Science NL

Case report

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

Matthias Siepe a , * , Sven Dittrich b , Friedhelm Beyersdorf a , Christian Schlensak a

a Department of Cardiovascular Surgery, University Hospital Freiburg, Hugstetter Str. 55, D-79106 Freiburg, Germany
b Department of Pediatric Cardiology, University Hospital Freiburg, Germany

Received 2 September 2005; received in revised form 16 January 2006; accepted 25 January 2006.

* Corresponding author. Tel.: +49 761 270 2818; fax: +49 761 270 2550. (Email: matthias.siepe{at}web.de).

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.

Key Words: Congenital defect repair • Aortico-ventricular tunnel • Aortic atresia






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Copyright © 2006 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.