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Aorto-left ventricular tunnel in association with hypoplastic left heart syndrome—recognition by transesophageal and transthoracic echocardiography

Published online by Cambridge University Press:  19 August 2008

Einat Birk ,
Norman H. Silverman  and
Bernardo A. Vidne
Einat Birk
Affiliation:
From the Departments of Pediatrics and Cardiothoracic Surgery, Children's Medical Center of Israel and Beilinson Hospital, Petach Tiqvah
Norman H. Silverman*
Affiliation:
From the Departments of Pediatrics and Cardiothoracic Surgery, Children's Medical Center of Israel and Beilinson Hospital, Petach Tiqvah
Bernardo A. Vidne
Affiliation:
From the Departments of Pediatrics and Cardiothoracic Surgery, Children's Medical Center of Israel and Beilinson Hospital, Petach Tiqvah
*
Dr. Norman H. Silverman, Echocardiography Laboratory, 521 Parnassus Avenue, San Francisco, CA 94 143-0214, USA. Tel. (415) 476-5887; Fax. (415) 476-5875.
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Abstract

We describe a neonate who presented with aortic atresia, a hypoplastic left ventricle and aorto-left ventricular tunnel. These findings, recognized by transthoracic and transesophageal cross-sectional echocardiography complemented by Doppler color flow imaging, were confirmed at surgery by direct inspection. This complex of associations has not been described before and suggests a primary abnormality of the left ventricle because diastolic filling from the aorto-left venticular tunnel and mitral flow should tend to ensure fetal left ventricular growth.

Keywords

Aortic atresiaultrasoundDoppler color flow imaging
Type
Brief Reports
Information
Cardiology in the Young , Volume 5 , Issue 2 , April 1995 , pp. 190 - 193
Copyright
Copyright © Cambridge University Press 1995

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References

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