PubMed · 13540749
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R VARGAS REGUERO. 1958. [Aortic insufficiency].. https://pubmed.ncbi.nlm.nih.gov/13540749/
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Bilateral coronary artery fistulae originating from both right and left coronary arteries are rare congenital abnormalities that, in the adult population, are often associated with other acquired cardiovascular diseases. We briefly describe a 63-year-old woman with a dual coronary artery fistula and severe aortic stenosis. Both anomalies were successfully corrected surgically.
A fetus was diagnosed with regurgitation from the aorta into the left ventricle. A large aortico-left ventricular tunnel with aortic atresia was identified postnatally by echocardiography in a neonate suffering from severe heart failure. We successfully reconstructed the valve and closed the tunnel with a patch on his first day of life. At three-month follow-up, the baby is asymptomatic with mild aortic regurgitation. The combination of congenital aortico-left ventricular tunnel and aortic atresia can be misinterpreted in prenatal echocardiography as aortic regurgitation. This pathology may require urgent operative interventions.
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