Affiliation:
1. From the Departments of Radiology, Pediatrics, and Pathology, The University of Texas Medical Branch, Galveston, Texas.
Abstract
A case is presented of a 16-month-old white boy with a communication or tunnel between the right sinus of Valsalva and the outflow tract of the left ventricle. The presence of a murmur at birth and the subsequent clinical course suggest that the tunnel was congenital. The physical, electrocardiographic, phonocardiographic, and aortographic findings were quite similar to those of "aortico-left ventricular tunnel" as described by Levy et al.
1
The tunnel was occluded surgically, but failure to appreciate the presence of severe aortic stenosis contributed to a fatal outcome.
Postmortem study was carried out, and the relationship of the findings of aortico-left ventricular tunnel to aneurysm of the sinuses of Valsalva and the Marfan syndrome is briefly discussed.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Subject
Physiology (medical),Cardiology and Cardiovascular Medicine
Reference11 articles.
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3. uber das Aneurysma des rechten Sinus Valsalvae der Aorta und seine Beziehungen zum oberen Ventrikelseptum. Virchows Arch. path;HART K.;Anat.,1905
4. Congenital Aneurysm of the Right Coronary Sinus of Valsalva with Rupture into the Left Ventricle
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