Henaine Roland, Di Filippo Sylvie, Dauphin Claire, Bozio André, Ninet Jean, Lusson Jean-René
The Congenital Heart Disease Department, Cardiologic Hospital Louis Pradel, Lyon, France.
J Card Surg. 2008 Jul-Aug;23(4):368-70. doi: 10.1111/j.1540-8191.2007.00531.x.
We report a case with very early antenatal diagnosis of aortico-left ventricular tunnel (ALVT) at 22 weeks of pregnancy. Early recognition of ALVT by antenatal ultrasound allows prompt neonatal management and avoidance of harmful aortic valve regurgitation. The present case is unique because of the conjunction of very early antenatal diagnosis, prompt postnatal management, early surgical repair on the sixth day of life, direct closure from the aorta of the aortic orifice only, and optimal postoperative course with excellent mid-term result.
我们报告了一例在妊娠22周时极早期产前诊断为主动脉-左心室隧道（ALVT）的病例。产前超声对ALVT的早期识别可使新生儿得到及时管理，并避免有害的主动脉瓣反流。本病例具有独特性，因为它结合了极早期产前诊断、产后及时管理、出生后第六天进行早期手术修复、仅从主动脉直接闭合主动脉口，以及术后过程良好且中期结果优异。
