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First Successful Repair of an Aortico-to-right Ventricular Tunnel (ARVT) in d-Transposition of the Great Arteries with Aortic Valve Atresia and Ventricular Septal Defect

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Abstract

The presented case reports on the first successful complex biventricular repair in a neonate with an aortico-to-right ventricular tunnel and dextrotransposition of the great arteries complicated by aortic atresia.

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Fig. 1
Fig. 2

Abbreviations

RV:

Right ventricle

PA:

Pulmonary artery

d-TGA:

Dextrotransposition of the great arteries

ARVT:

Aortico-to-right ventricular tunnel

ALVT:

Aortico-to-left ventricular tunnel

References

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Author notes

    Authors and Affiliations

    1. Department of Paediatric Cardiology, University of Leipzig-Heart Center, Struempellstrasse 39, 04289, Leipzig, Germany

      Robert Wagner & Ingo Daehnert

    2. Department of Cardiac Surgery, University of Leipzig-Heart Center, Leipzig, Germany

      Marcel Vollroth & Martin Kostelka

    Authors
    1. Robert Wagner
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    2. Marcel Vollroth
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    3. Ingo Daehnert
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    4. Martin Kostelka
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    Corresponding author

    Correspondence to Robert Wagner.

    Additional information

    Robert Wagner and Marcel Vollroth have contributed equally to this paper.

    Electronic supplementary material

    Below is the link to the electronic supplementary material.

    246_2015_1123_MOESM1_ESM.avi

    Parasternal long-axis view showing the aortico-to-right ventricular tunnel as the only connection between the right ventricle and the aorta and its enlarged sinus (AVI 3919 kb)

    246_2015_1123_MOESM2_ESM.avi

    Zooming in parasternal long axis with color flow Doppler revealing to-and-fro flow pattern through the aortico-to-right ventricular tunnel while the aortic valve is atretic (AVI 3237 kb)

    246_2015_1123_MOESM3_ESM.avi

    A postoperative subcostal view showing the Damus–Kaye–Stansel anastomosis for connecting the aorta with the main pulmonary artery to form the left ventricular outflow tract (AVI 3577 kb)

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    Wagner, R., Vollroth, M., Daehnert, I. et al. First Successful Repair of an Aortico-to-right Ventricular Tunnel (ARVT) in d-Transposition of the Great Arteries with Aortic Valve Atresia and Ventricular Septal Defect. Pediatr Cardiol 36, 880–883 (2015). https://doi.org/10.1007/s00246-015-1123-7

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    • DOI: https://doi.org/10.1007/s00246-015-1123-7

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