Thorac Cardiovasc Surg 2008; 56(4): 234-236
DOI: 10.1055/s-2007-965175
Short Communications

© Georg Thieme Verlag KG Stuttgart · New York

Aortic-Left Ventricular Tunnel with Late Incompetence after 18-year Follow-Up

H.-M. Chen1 , P.-C. Chang1 , Y.-F. Chen1
  • 1Division of Cardiovascular Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan - Republic of China
Further Information

Publication History

Received December 28, 2006

Publication Date:
15 May 2008 (online)


Since Levy introduced the first case of aortic-left ventricular tunnel (ALVT), hundreds of cases have been described in the literature. All authors agree that the earlier the operation is performed, the better the outcome will be, and that operative procedures should include patch repair of the aortic orifice and/or ventricular orifice, or direct suture of the tunnel. The long-term results nevertheless include progressive aortic regurgitation (AR) and a need for a second operation for aortic valve repair or replacement. Our patient received tunnel repair when he was 5 months old [[1]] and valve replacement at 19 years of age. The unique changes in the aortic valve and surrounding structure are described below.


Prof. PhD Ying-Fu Chen

Division of Cardiovascular Surgery
Department of Surgery
Kaohsiung Medical University Hospital

100 Shih-Chuan 1st Rd

813 Kaohsiung

Taiwan - Republic of China

Phone: + 886 73 12 11 01 (ext. 58 01)

Fax: + 886 73 12 70 56