TITLE

Partial aortic annulus avulsion and formation of aortic-left ventricle tunnel through interventricular septum after blunt cardiac trauma

AUTHOR(S)
Yang, Shouguo; Wang, Chunsheng; Chen, Hao
PUB. DATE
July 2011
SOURCE
European Journal of Cardio-Thoracic Surgery;Jul2011, Vol. 40 Issue 1, p255
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Abstract: Traumatic aortic-left ventricle tunnel through interventricular septum was particularly a rare event that has never previously been described. A 58-year-old male, with a history of blunt thoracic trauma caused by falling from height, was admitted to our institute for effort dyspnea. Chest computed tomography scan showed subaortic interventricular septal lumen communicating with coronary sinus and left ventricular outflow tract (LVOT). Transthoracic echocardiography revealed a shuttle flow from coronary sinus to LVOT bypassing aortic annulus during diastole. Operation examination found partial aortic annulus avulsion outside right coronary cusp involving superior interventricular septum dissection forming a tunnel breakthrough into left ventricular outflow tract. Both aortic orifice and LVOT orifice of the tunnel were closed with running Prolene suture and right coronary cusp annulus was fastened to aortic root with intermittent mattress suture. The postoperative course was uneventful. Echocardiography confirmed complete closure of the tunnel with residual trivial to mild aortic regurgitation during 1-month follow-up.
ACCESSION #
61175218

 

Related Articles

  • Percutaneous closure of ventricular septal defects in children.  // Cardiology in the Young;May2005 Supplement 2, Vol. 15 Issue S2, p79 

    The article focuses on a study related to percutaneous closure of ventricular septal defects (VSD) in children. VSD was mid-muscalar in 15 patients, apical in 4 patients, high muscalar in 3 patients, perimembranous in 37 patients. All patients had echocardiographic signs of left ventricle volume...

  • Caged-ball mitral valve: still functional after 40 years. Durukan, Ahmet Baris; Gurbuz, Hasan Alper; Ucar, Halil İbrahim; Yorgancioglu, Cem // European Journal of Cardio-Thoracic Surgery;May2013, Vol. 43 Issue 5, pe142 

    The article presents a case study of a 51 year old man who was being treated by echocardiography for dyspnoea and aortic insufficiency.

  • Improving cardiac function after cardiac surgery by biventricular pacing in patient selected by three-dimensional echocardiography. Stéphane Combes; Nicolas Combes; Etienne Geoffroy; Romain Eschalier; Kasra Azarnoush; Lionel Camilleri; Charles De Riberolles // European Journal of Echocardiography;Mar2009, Vol. 10 Issue 2, p337 

    We present the case of a 57-year-old woman with severe aortic regurgitation and ventricular dysfunction (ejection fraction 34%) requiring surgical intervention. In pre-operative period, no left ventricular (LV) asynchrony was detected by QRS duration and current echocardiographic techniques,...

  • Midterm follow-up of arterial switch operation for transposition of the great arteries with intact ventricular septum and left-ventricular outflow tract obstruction. Raja, Shahzad G.; Kostolny, Martin; Oswal, Nilesh; Afifi, Ahmed; Mimic, Branko; Sullivan, Ian D.; de Leval, Marc R.; Tsang, Victor T. // European Journal of Cardio-Thoracic Surgery;Oct2011, Vol. 40 Issue 4, p994 

    Abstract: Objective: We report the mid-term follow-up of patients, who underwent arterial switch operation (ASO) for transposition of the great arteries (TGA) with intact ventricular septum and left-ventricular outflow tract obstruction (LVOTO) over a 10-year period from 2000 to 2009. Methods:...

  • GENERAL CARDIOLOGY.  // Heart;Nov2001, Vol. 86 Issue 5, p487 

    audible third heart sound indicates left ventricular diastolic dysfunction or bad valvar regurgitation. A study of 580 patients correlated the presence of S3 (heard consistently in 90 percent of cases) with echo assessment in patients with atrial regurgitation (AR), mitral regurgitation (MR) or...

  • Echocardiographic Assessment in Aortic Insufficiency and Surgery Recommendations. Nukic, Sabrija; Mujcinovic, Zulfo; Avdic, Sevleta; Saric, Muradif; Kusljugic, Zumreta; Caluk, Jasmin // Acta Informatica Medica;2006, Vol. 14 Issue 1, p20 

    Aortic insufficiency /AI/ is a condition in which aortic valve has become disfigured to such extent that its leaflets are no longer able to completely oppose each other during diastole, which allows blood to flow beck into the left ventricle from the ascending aorta during diastole....

  • Pericardial Single-Patch Repair of Right Coronary Artery From Aorto-Left Ventricular Tunnel. Bautista-Hernandez, Victor; Portela, Francisco; Marcos-Alonso, Sonia; Rueda, Fernando // Pediatric Cardiology;Jul2010, Vol. 31 Issue 5, p714 

    Aortico-left ventricular tunnel (ALVT) is a rare congenital paravalvar communication between the aorta and the left ventricle. This anomaly has been associated with the right coronary artery (RCA) arising directly from the tunnel. Surgical repair of this later condition is challenging and is...

  • Hemodynamic behavior of stentless aortic valves in long term follow-up. Christ, Torsten; Grubitzsch, Herko; Claus, Benjamin; Heinze, Georg; Dushe, Simon; Konertz, Wolfgang // Journal of Cardiothoracic Surgery;2014, Vol. 9 Issue 1, p117 

    Objectives Stentless aortic valve replacements show improved hemodynamics due to larger orifice area and lower transvalvular gradients in short and mid-term follow-up. Hemodynamic long-term behavior and the adaptation of the left ventricle as well as valve-durability in patients aged ≤60...

  • 4D-Analysis of Left Ventricular Heart Cycle Using Procrustes Motion Analysis. Piras, Paolo; Evangelista, Antonietta; Gabriele, Stefano; Nardinocchi, Paola; Teresi, Luciano; Torromeo, Concetta; Schiariti, Michele; Varano, Valerio; Puddu, Paolo Emilio // PLoS ONE;Jan2014, Vol. 9 Issue 1, p1 

    The aim of this study is to investigate human left ventricular heart morphological changes in time among 17 healthy subjects. Preliminarily, 2 patients with volumetric overload due to aortic insufficiency were added to our analyses. We propose a special strategy to compare the shape, orientation...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics