A 10-year-old boy with aortico-left ventricular tunnel, a very unusual congenital
cardiovascular malformation, is presented. Closure of both orifices of the tunnel
by round teflon patches is recommended. We think this surgical technique is superior
to closure of these openings by primary sutures only, which can result in stretching
and distortion of the aortic ring and leaflets leading to postoperative residual aortic
regurgitation.
Congenital heart disease - Heart failure - Systolo-diastolic (to-and fro) murmur
