Truong Ba Luu, Moreau De Bellaing Anne, Vialle Emmanuelle, Haydar Ayman, Vouhe Pascal, Jouk Pierre Simon, Blaysat Gerard
Pediatric Cardiac Unit, Hôpital Universitaire de Grenoble-Alpes, Grenoble, France.
Cardiovascular Unit, Children's Hospital 2, Ho Chi Minh City, Vietnam.
Front Pediatr. 2020 Feb 27;8:69. doi: 10.3389/fped.2020.00069. eCollection 2020.
Aorto-left ventricular tunnel (ALVT) is a rare congenital heart defect. Surgery has to be performed early to avoid life-threatening complications. Prenatal diagnosis of this defect is challenging. We report a case of ALVT diagnosed in a fetus showing premature severe cardiac failure at 24 GA. The new born was operated at day 3 of life with good results. Two years later, he is still doing well recovering a complete normal cardiac function. ALVT should be suggested in front of any fetal cardiac failure. Thanks to early diagnosis, prompt neonatal management can be organized and allows positive outcome.
主动脉左心室隧道（ALVT）是一种罕见的先天性心脏缺陷。必须尽早进行手术以避免危及生命的并发症。这种缺陷的产前诊断具有挑战性。我们报告一例在孕24周时被诊断为ALVT的胎儿，该胎儿出现早产严重心力衰竭。新生儿在出生后第3天接受手术，效果良好。两年后，他恢复情况良好，心脏功能完全正常。面对任何胎儿心力衰竭都应考虑到ALVT。由于早期诊断，可以及时组织新生儿管理并取得良好结果。
