PMID- 15008700
OWN - NLM
STAT- MEDLINE
DCOM- 20040625
LR  - 20161124
IS  - 1341-1098 (Print)
IS  - 1341-1098 (Linking)
VI  - 10
IP  - 1
DP  - 2004 Feb
TI  - Repair of the aortico-left ventricular tunnel originating from the right aortic 
      sinus with severe aortic valve regurgitation.
PG  - 47-50
AB  - A 31-year-old adult with an aortico-left ventricular tunnel (ALVT) arising from 
      the right aortic sinus is reported. Preoperative transesophageal echocardiography 
      demonstrated a ruptured sinus of Valsalva with severe aortic valve regurgitation 
      which originated from the right coronary sinus entering the outlet portion of the 
      left ventricular outflow tract. Operation revealed the aortic entrance of the 
      tunnel was above the right coronary sinus. Direct closure of the orifice of the 
      tunnel using three stitches of 4-0 polypropylene with felt and aortic valve 
      replacement (AVR) was performed. At 10-month follow-up the patient is 
      asymptomatic and receiving no oral medications except anticoagulants. We believe 
      this to be the oldest case of ALVT managed with AVR.
FAU - Ando, Masaki
AU  - Ando M
AD  - Department of Cardiovascular Surgery, Fukushima Red Cross Hospital, Fukushima, 
      Japan.
FAU - Igari, Tsuguo
AU  - Igari T
FAU - Ando, Seiichi
AU  - Ando S
FAU - Satokawa, Hirono
AU  - Satokawa H
FAU - Yokoyama, Hitoshi
AU  - Yokoyama H
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - Japan
TA  - Ann Thorac Cardiovasc Surg
JT  - Annals of thoracic and cardiovascular surgery : official journal of the 
      Association of Thoracic and Cardiovascular Surgeons of Asia
JID - 9703158
SB  - IM
MH  - Adult
MH  - Aortic Diseases/diagnostic imaging/pathology/surgery
MH  - Aortic Valve Insufficiency/diagnosis/*etiology/*surgery
MH  - Fistula/*complications/diagnosis/*surgery
MH  - Heart Ventricles/diagnostic imaging/*pathology/surgery
MH  - Humans
MH  - Male
MH  - Sinus of Valsalva/diagnostic imaging/*pathology/surgery
MH  - Ultrasonography
EDAT- 2004/03/11 05:00
MHDA- 2004/06/26 05:00
CRDT- 2004/03/11 05:00
PHST- 2004/03/11 05:00 [pubmed]
PHST- 2004/06/26 05:00 [medline]
PHST- 2004/03/11 05:00 [entrez]
PST - ppublish
SO  - Ann Thorac Cardiovasc Surg. 2004 Feb;10(1):47-50.