Open Access

CASE REPORT

Fate of Right Coronary Artery Occlusion after a Surgically Repaired Aorto-Ventricular Tunnel in a Neonate

by Sherif Negm^1,2, Loic Mace¹, Fedoua El Louali³, Beatrice Desnous⁴, Philipe Aldebert³, Virginie Fouilloux¹, Marien Lenoir^1,*

1 Department of Pediatric Cardiac Surgery, Hôpital Timone enfant, Assistance Public-Hopitaux Marseille, Aix-Marseille Université, Marseille, France
2 Department of Cardiothoracic Surgery, Tanta University, Tanta, Egypt
3 Department of Pediatric Cardiology, Hôpital Timone enfant, Assistance Public-Hopitaux Marseille, Aix-Marseille Université, Marseille, France
4 Department of Neurology, Hôpital Timone enfant, Assistance Public-Hopitaux Marseille, Aix-Marseille Université, Marseille, France

* Corresponding Author: Marien Lenoir. Email:

Congenital Heart Disease 2024, 19(3), 267-273. https://doi.org/10.32604/chd.2024.051642

Received 11 March 2024; Accepted 17 May 2024; Issue published 26 July 2024

Abstract

The aorto-ventricular tunnel is a rare congenital cardiac anomaly. We present a case of aorto-ventricular tunnel diagnosed via fetal echocardiography. Emergency surgery was performed on the 2nd day of life to close the tunnel, located just in front of the right coronary ostium, due to the patient’s unstable health condition. The postoperative period revealed complete occlusion of the right coronary artery. Due to the patient’s stability, we opted not to reintervene on the right coronary artery. The patient fully recovered without the need for further coronary intervention. In cases of patients with an aorto-ventricular tunnel (AVT) and associated coronary lesions, it is crucial to exercise caution when intervening in the coronary arteries.

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Keywords

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