Successful Surgical Repair for Aortico-left Ventricular Tunnel During Neonatal Period

Abstract

We experienced a neonate with aortic-left ventricular tunnel （ALVT） who underwent a radical operation in the neonatal period. A 7-day-old male newborn had exhibited aortico-left ventricular blood flow reflux during the fetal period. He was diagnosed with ALVT immediately after birth, and heart failure symptoms subsequently appeared. A surgical operation was performed during the neonatal period. The aortic end of the ALVT was located in the right-noncoronary commissure and the measured diameter was approximately 5 mm. Direct closure of the ALVT was performed without limiting the movement of the aortic valves. The postoperative course of the patient was uneventful so far.