Rosenkranz E R, Murphy D J
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, OH 44195.
Cleve Clin J Med. 1992 Jan-Feb;59(1):87-90. doi: 10.3949/ccjm.59.1.87.
Aortico-left ventricular tunnel is a rare paravalvular communication between the aorta and the left ventricle resulting in severe aortic regurgitation. It originates most frequently just superior to the right sinus of Valsalva and enters the left ventricle just inferior to the right aortic valve cusp traversing the infundibular or perimembranous ventricular septum. We report our experience with this lesion presenting in a neonate on the first day of life and describe its clinical presentation, noninvasive diagnosis, and surgical management.
主动脉-左心室通道是一种罕见的主动脉与左心室之间的瓣周交通,可导致严重的主动脉瓣反流。它最常起源于瓦尔萨尔瓦右窦上方,经漏斗部或膜周部室间隔,在右主动脉瓣叶下方进入左心室。我们报告了一名新生儿在出生第一天出现这种病变的经验,并描述了其临床表现、无创诊断和手术治疗。