Aortico–Right Atrial Tunnel in an Infant
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Mohamed Matter • Mohamed-Adel Elgamal • Ashraf Abdel Rahman • Hala Almarsafawy
- چاپ و سال / کشور: 2011
Description
female infant, age 2 months, presented with symptoms of congestive heart failure. On examination, there was tachycardia and tachypnea. Cardiac auscultation revealed normal S1 and loud S2 with continuous murmur on the left sternal border, which propagated to the right of the sternum. Chest radiography revealed mild cardiomegaly, straightened left heart border, and a slight prominence at the right edge of the cardiac silhouette. Electrocardiogram showed sinus tachycardia with right ventricular hypertrophy. Echocardiogram showed a tunnel originating posterolaterally from the left aortic sinus and separately from the left coronary artery (Fig. 1; Videos 1 and 2 (Electronic supplementary materials 1, 2)), then it coursed posteriorly to the heart and opened into the right atrial roof near the superior vena cava (SVC).
Pediatr Cardiol (2011) 32:849–850 DOI 10.1007/s00246-011-9971-2 Received: 11 February 2011 / Accepted: 20 March 2011 / Published online: 10 April 2011
