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Role of transesophageal echocardiography in the management of aortic-left ventricular tunnel

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Abstract

A 10-year-old patient has been followed for 10 years after repair of an aortic-left ventricular tunnel (ALVT) for residual aortic regurgitation and significant recurrent leak through the ALVT. Transesophageal echocardiography (TEE) was done prior to surgery and intraoperatively to (1) clarify the precise anatomy of the ALVT, (2) evaluate the degree of aortic regurgitation, and (3) assess the repair. Delineation of the anatomy of the ALVT and assessment of the residual aortic insufficiency helped with the intraoperative decisionmaking. We describe the TEE findings of a residual ALVT in this patient and discuss the role of TEE in managing the lesion.

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Authors and Affiliations

  1. Department of Pediatrics, Royal University Hospital, University of Saskatchewan, S7N 0X0, Saskatoon, SK, Canada

    A. P. Kakadekar

  2. Division of Cardiology, Department of Pediatrics, University of British Columbia, British Columbia Children's Hospital, 4480 Oak Street, V6H 3V4, Vancouver, B.C., Canada

    G. G. S. Sandor & M. W. Patterson

  3. Division of Cardiothoracic Surgery, Department of Pediatrics, University of British Columbia, British Columbia Children's Hospital, 4480 Oak Street, V6H 3V4, Vancouver, B. C., Canada

    J. G. LeBlanc

Authors
  1. A. P. Kakadekar
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  2. G. G. S. Sandor
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  3. M. W. Patterson
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  4. J. G. LeBlanc
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Kakadekar, A.P., Sandor, G.G.S., Patterson, M.W. et al. Role of transesophageal echocardiography in the management of aortic-left ventricular tunnel. Pediatr Cardiol 16, 137–140 (1995). https://doi.org/10.1007/BF00801913

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  • DOI: https://doi.org/10.1007/BF00801913

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