Kim Richard W, Spray Thomas L
Division of Cardiothoracic Surgery, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2006:177-9. doi: 10.1053/j.pcsu.2006.02.013.
Aortico-left ventricular tunnel is a rare, paravalvular communication of unclear etiology between the ascending aorta and the left ventricle. The resultant regurgitant diastolic blood flow leads to varying degrees of volume overload and congestive heart failure. Diagnosis is typically made postnatally with echocardiography. Surgical correction is the treatment of choice consisting of either patch closure or primary repair of the aortic orifice. Prognosis is good, although a significant percentage of patients will eventually require valve replacement because of progressive aortic valvular insufficiency.
主动脉-左心室通道是一种罕见的、病因不明的升主动脉与左心室之间的瓣周交通。由此产生的舒张期反流血流导致不同程度的容量超负荷和充血性心力衰竭。诊断通常在出生后通过超声心动图进行。手术矫正为首选治疗方法，包括补片修补或主动脉瓣口的一期修复。预后良好，尽管相当一部分患者最终会因进行性主动脉瓣关闭不全而需要进行瓣膜置换。
