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CONGENITAL – Commentary| Volume 32, ISSUE 4, P881-882, December 2020

Commentary: Approach With Caution – Aorto Right Ventricular Tunnel

      Aorto-right ventricular tunnels are rare anomalies, often associated with abnormalities of coronary artery. Treatment requires closure of both ends of the tunnel without compromising coronary flow.
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      References

        • Ambra M.
        • Ali N.H.
        • Giuseppe P.
        • et al.
        Aorto-right ventricular tunnel: A case series and literature review.
        Semin Thorac Cardiovasc Surg. 2020; 32: 876-880
        • Protopapas E.M.
        • Anderson R.H.
        • Backer C.L.
        • et al.
        Surgical management of aorto-ventricular tunnel. A multicenter study.
        Semin Thorac Cardiovasc Surg. 2020; 32: 271-279
        • McKay R.
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        The aorto-ventricular tunnels.
        Cardiol Young. 2002; 12: 563-580

      Linked Article

      • Aorto-Right Ventricular Tunnel: A Case Series and Literature Review
        Seminars in Thoracic and Cardiovascular SurgeryVol. 32Issue 4
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          Aorto-right ventricular tunnel (ARVT) is a rare cardiac congenital anomaly where an extracardiac channel connects the ascending aorta above the sinutubular junction to the right ventricle. This defect is caused by an abnormal development of the cushions of the aorto-pulmonary outflow tract. A case series and literature review are described. Two cases of ARVT are described. A literature review was conducted, in which 31 cases were reported. In our 2 cases, both ARVTs connected the ascending aorta above the left aortic sinus to the right ventricle (one to the right ventricular outflow tract and one to the right ventricular apex).
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