Skip to main content Accessibility help
×
Home

Echocardiography of the aortopulmonary window, aorto-ventricular tunnels, and aneurysm of the sinuses of Valsalva

  • William T. Mahle (a1), Joseph Kreeger (a1) and Norman H. Silverman (a2)

Abstract

There is a collection of rare congenital cardiac defects that can produce significant haemodynamic embarrassment. Owing to their rarity, these lesions may be overlooked or mistaken for other more common congenital cardiac defects. Using careful segmental echocardiographic techniques, such as multiple planes of imaging and inferential Doppler findings, it is possible to identify these lesions and thus plan surgical management. Some of the lesions of importance reviewed include the aortopulmonary window, the aorto-ventricular tunnels, the aorto-atrial tunnels, and aneurysm of the sinuses of Valsalva. Some conditions such as the aortopulmonary window and aneurysm of the sinuses of Valsalva often occur in the setting of other congenital cardiac lesions. At times, the presence of coexisting lesions may mask some of the characteristic features of these defects. With prompt identification, all of these rare conditions are amenable to complete surgical repair. Newer modalities such as three-dimensional echocardiography can further enhance surgical planning.

Copyright

Corresponding author

Correspondence to: W. T. Mahle, MD, Children’s Healthcare of Atlanta, Emory University School of Medicine, 1405 Clifton Road, NE, Atlanta, Georgia 30322-1062, USA. Tel: 404-315-2672; Fax: 404-325-6021; E-mail: mahlew@kidsheart.com

References

Hide All
1.Kiran, VS, Singh, MK, Shah, S, John, C, Maheshwari, S. Lessons learned from a series of patients with missed aortopulmonary windows. Cardiol Young 2008; 18: 480484.g.
2.van Son, JA, Puga, FJ, Danielson, GK, et al. Aortopulmonary window: factors associated with early and late success after surgical treatment. Mayo Clin Proc 1993; 68: 128133.
3.Alboliras, ET, Chin, AJ, Barber, G, Helton, JG, Pigott, JD. Detection of aortopulmonary window by pulsed and color Doppler echocardiography. Am Heart J 1988; 115: 900902.
4.Rice, MJ, Seward, JB, Hagler, DJ, Mair, DD, Tajik, AJ. Visualization of aortopulmonary window by two-dimensional echocardiography. Mayo Clin Proc 1982; 57: 482487.
5.Horimi, H, Hasegawa, T, Shiraishi, H, Endo, H, Yanagisawa, M. Detection of aortopulmonary window with ventricular septal defect by Doppler color flow imaging. Chest 1992; 101: 280281.
6.Singh, A, Mehmood, F, Romp, RL, Nanda, NC, Mallavarapu, RK. Live/real time three-dimensional transthoracic echocardiographic assessment of aortopulmonary window. Echocardiography 2008; 25: 9699.
7.Jureidini, SB, de, MD, Nouri, S, Kanter, K. Aortico-right ventricular tunnel and critical pulmonary stenosis: diagnosis by two-dimensional and Doppler echocardiography and angiography. Pediatr Cardiol 1989; 10: 99103.
8.Cooley, RN, Harris, LC, Rodin, AE. Abnormal communication between the aorta and left ventricle: aortico-left ventricular tunnel. Circulation 1965; 31: 564571.
9.Perez-Martinez, V, Quero, M, Castro, C, Moreno, F, Brito, JM, Merino, G. Aortico-left ventricular tunnel. A clinical and pathologic review of this uncommon entity. Am Heart J 1973; 85: 237245.
10.Wu, JR, Huang, TY, Chen, YF, Lin, YT, Roan, HR. Aortico-left ventricular tunnel: two-dimensional echocardiographic and angiocardiographic features. Am Heart J 1989; 117: 697699.
11.Rosenberg, H, Williams, WG, Trusler, GA, et al. Congenital aortico-right atrial communications. The dilemma of differentiation from coronary-cameral fistula. J Thorac Cardiovasc Surg 1986; 91: 841847.
12.Kursaklioglu, H, Iyisoy, A, Celik, T, Kose, S, Amasyali, B, Isik, E. Aortico-right atrial tunnel in an adult patient. Int J Cardiovasc Imaging 2005; 21: 383385.
13.Bharati, S, Lev, M, Cassels, DE. Aortico-right ventricular tunnel. Chest 1973; 63: 198202.
14.Vargas, FJ, Molina, A, Martinez, JC, Ranzini, ME, Vazquez, JC. Aortico-right ventricular tunnel. Ann Thorac Surg 1998; 66: 17931795.
15.Nakamura, K, Suzuki, S, Satomi, G. Detection of ruptured aneurysm of sinus of Valsalva by contrast two-dimensional echocardiography. Br Heart J 1981; 45: 219221.
16.Lewis, BS, Agathangelou, NE. Echocardiographic diagnosis of unruptured sinus of Valsalva aneurysm. Am Heart J 1984; 107: 10251027.
17.Hands, ME, Lloyd, BL, Hung, J. Cross-sectional echocardiographic diagnosis of unruptured right sinus of Valsalva aneurysm dissecting into the interventricular septum. Int J Cardiol 1985; 9: 380383.

Keywords

Related content

Powered by UNSILO

Echocardiography of the aortopulmonary window, aorto-ventricular tunnels, and aneurysm of the sinuses of Valsalva

  • William T. Mahle (a1), Joseph Kreeger (a1) and Norman H. Silverman (a2)

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed.