Department of Pediatric Cardiology, Akdeniz University Faculty of Medicine, Dumlupınar, Antalya, 07059, Turkey.
Department of Radiology, Akdeniz University Faculty of Medicine, Dumlupınar, Antalya, 07059, Turkey.
Echocardiography. 2021 Dec;38(12):2126-2128. doi: 10.1111/echo.15247. Epub 2021 Dec 1.
Aortico-left ventricular tunnel (ALVT) is a rare congenital cardiac anomaly and constitutes less than 0.1% of all congenital cardiac defects (1). ALVT is described as an abnormal connection between the ascending aorta and the left ventricle which originates commonly above the right sinus of valsalva. Most patients are diagnosed with an ALVT during early infancy (2). Although transthoracic echocardiography (TTEAQ5) is more effective in diagnosis of ALVT, misdiagnosis rate was 17.1% (3). Sinus of valsalva aneurysm (SVA) is frequently confused with ALVT (3). We report a term female newborn with SVA in echocardiographic examination, but in surgery, she was diagnosed with ALVT.
主动脉左心室隧道（ALVT）是一种罕见的先天性心脏畸形，占所有先天性心脏缺陷的比例不到 0.1%（1）。ALVT 被描述为升主动脉和左心室之间的异常连接，通常起源于右窦瓦萨尔上方。大多数患者在婴儿早期被诊断出患有 ALVT（2）。尽管经胸超声心动图（TTEAQ5）在诊断 ALVT 方面更有效，但误诊率为 17.1%（3）。窦瓦萨尔动脉瘤（SVA）常与 ALVT 混淆（3）。我们报告了一名足月女性新生儿在超声心动图检查中出现 SVA，但在手术中被诊断为 ALVT。
