open access

Vol 14, No 1 (2019)
Cardiac Surgery
Published online: 2019-04-10
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Aortico-left ventricular tunnel: a rare cause of ‘to-and-fro’ murmur

Santosh Kumar Sinha, Dibbendhu Khanra, Lokendra Rekwal, Puneet Aggarwal, Chandra Mohan Varma, Vinay Krishna
DOI: 10.5603/FC.2019.0015
·
Folia Cardiologica 2019;14(1):106-110.

open access

Vol 14, No 1 (2019)
Cardiac Surgery
Published online: 2019-04-10

Abstract

Aortico–left ventricular tunnel (ALVT) is a rare congenital paravalvular communication between the aorta and the left ventricle (LV), with few hundred odd cases reported till date. Most commonly the tunnel arises from the right aortic sinus. We herein report a case of AVLT in a 28-year old male where a common pouch, which was communicating to both the left, as well as right aortic sinus, was draining to the left ventricle. He presented with progressive heart failure where a long diastolic murmur was audible. The patient succumbed to death because of progressive cardiac decompensation before surgical correction could have been performed. This is a first ever report of AVLT where proximal chamber as a common sac, communicating with both the left, as well as right aortic sinus, was communicating distally to the left ventricle. Key words- Aortico- left ventricular tunnel, Congenital heart defect, Aortic regurgitation; Diastolic murmur; Cardiac decompensation

Abstract

Aortico–left ventricular tunnel (ALVT) is a rare congenital paravalvular communication between the aorta and the left ventricle (LV), with few hundred odd cases reported till date. Most commonly the tunnel arises from the right aortic sinus. We herein report a case of AVLT in a 28-year old male where a common pouch, which was communicating to both the left, as well as right aortic sinus, was draining to the left ventricle. He presented with progressive heart failure where a long diastolic murmur was audible. The patient succumbed to death because of progressive cardiac decompensation before surgical correction could have been performed. This is a first ever report of AVLT where proximal chamber as a common sac, communicating with both the left, as well as right aortic sinus, was communicating distally to the left ventricle. Key words- Aortico- left ventricular tunnel, Congenital heart defect, Aortic regurgitation; Diastolic murmur; Cardiac decompensation
Get Citation

Keywords

aortico-left ventricular tunnel; congenital heart defect; aortic regurgitation; diastolic murmur; cardiac decompensation

About this article
Title

Aortico-left ventricular tunnel: a rare cause of ‘to-and-fro’ murmur

Journal

Folia Cardiologica

Issue

Vol 14, No 1 (2019)

Pages

106-110

Published online

2019-04-10

DOI

10.5603/FC.2019.0015

Bibliographic record

Folia Cardiologica 2019;14(1):106-110.

Keywords

aortico-left ventricular tunnel
congenital heart defect
aortic regurgitation
diastolic murmur
cardiac decompensation

Authors

Santosh Kumar Sinha
Dibbendhu Khanra
Lokendra Rekwal
Puneet Aggarwal
Chandra Mohan Varma
Vinay Krishna

References (13)
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