Aorta-right atrial tunnel

Türkay, Cengiz; Golbasi, Ilhan; Belgi, Aytül; Tepe, Savas; Bayezid, Ömer

doi:10.1067/mtc.2003.87

Cited by 33 publications

(44 citation statements)

References 4 publications

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“…Up to now, only ten cases regarding ARAT were reported [1][2][3][4][5][6]. In most of the reported cases, the tunnel originated from the left sinus of Valsalva whereas the tunnel in one case originated from the non-coronary sinus, and in other case from the right coronary sinus.…”

Section: Discussionmentioning

confidence: 98%

Aortico-right atrial tunnel in an adult patient

Kurşaklıoğlu

İyisoy

Çelik

et al. 2005

Int J Cardiovasc Imaging

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Section: Discussionmentioning

confidence: 98%

Aortico-right atrial tunnel in an adult patient

Kurşaklıoğlu

İyisoy

Çelik

et al. 2005

Int J Cardiovasc Imaging

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“…Bu durumlarda, bizim de uyguladığımız yöntemde olduğu gibi, koroner ostiyumun tünelden ayrılarak aorta reimplantasyonu önerilmektedir. [5] Literatürde bildirilen olgular gözden geçirildiğinde, hastaların çoğunlukla, çocukluk veya genç erişkinlik dönemlerinde olduğu görülmektedir. [1,[3][4][5] Bu hastaların bir kısmı asemptomatik olabilirken, kalp yetersizliği başta olmak üzere, taşi-kardi, tekrarlayan solunum yolu enfeksiyonu, enfektif endokardit gibi sorunlar oluşabilmektedir.…”

Section: Discussionunclassified

“…[5] Literatürde bildirilen olgular gözden geçirildiğinde, hastaların çoğunlukla, çocukluk veya genç erişkinlik dönemlerinde olduğu görülmektedir. [1,[3][4][5] Bu hastaların bir kısmı asemptomatik olabilirken, kalp yetersizliği başta olmak üzere, taşi-kardi, tekrarlayan solunum yolu enfeksiyonu, enfektif endokardit gibi sorunlar oluşabilmektedir. Literatürde ayrıca yenidoğan döneminde ağır kalp yetersizliği bulunan ve tanıları prenatal olarak fetal ekokardiyografi ile konulan iki olgu mevcuttur.…”

Section: Discussionunclassified

Aorta-right atrial tunnel presenting with transposition of the great arteries: a case report

Şen¹

2013

Turk Gogus Kalp Dama

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arteriyel switch ameliyatı sırasında fark edilen sekiz günlük büyük arter transpozisyonu olgusu sunuldu.Anah tar söz cük ler: Aort-sağ atriyal tünel; yenidoğan; büyük arterlerin transpozisyonu.Aorta-right atrial tunnel is a congenital abnormality which is characterized by a relationship between the ascending aorta and right atrium. In this article, we report an eight-day neonate with transposition of the great arteries, in whom aorta-right atrial tunnel was detected during the arterial switch operation.

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“…Turkay et al were the first to diagnose right coronary sinus tunnel to the right atrium using electron-beam tomography. 22 Tossios and Salehi were the first to diagnose aorta-right atrial tunnel using CMR.…”

Section: Diagnosismentioning

confidence: 99%

An unusual case of aorta–right atrial tunnel with windsock aneurysm: imaging, diagnosis and treatment

Khan

Scholtz

Snyders

et al. 2017

CVJA

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The first successfully diagnosed and treated case of aortaright atrial tunnel was reported by Coto et al. in 1980. The most common cause of aorta-right atrial tunnel is a ruptured aneurysm of the sinus of Valsalva. Sinus of Valsalva aneurysms had been reported as early as 1840 by Thurnam; these were diagnosed at autopsy. With the advances in radiology, many cases of aorta-right atrial tunnel have been reported since then, each with its own subtle variations.We report on a unique case of aorta-right atrial tunnel with a windsock aneurysm in the right atrium. A 55-yearold male presented with abdominal pain and the chest X-ray revealed cardiomegaly. On further investigation with echocardiography and computed tomography angiography, there was an incidental aorta-right atrial tunnel with a windsock aneurysm in the right atrium. As early as 1840, aneurysms of the sinus of Valsalva were described by Thurnam; these were diagnosed through autopsies. 1 The first successfully diagnosed and treated case of aorta-right atrial tunnel was reported by Coto et al. in 1980. 2 Initially, diagnosis was limited to echocardiography and cardiac catheterisation, but with the advent of 64-slice computed tomography (CT) angiography, diagnostic accuracy and accessibility has improved. We present here a unique case of aorta-right atrial tunnel with a windsock aneurysm in the right atrium, diagnosed with echocardiography and CT angiography and successfully treated with surgery. Case reportA 55-year-old male patient presented with abdominal pain and was admitted to hospital for the treatment of a kidney stone. Two days after the stone was removed and a stent was placed, he complained again of severe abdominal pain, nausea and vomiting. He was thoroughly examined; the abdominal CT and ultrasound were normal. The cause of abdominal pain was due to a urinary tract infection, which he had contracted after the urinary tract stone was removed. The abdominal symptoms were unrelated to the cardiac findings. The chest radiograph, however, demonstrated cardiomegaly. He was then referred to a cardiologist.The patient had no history of cardiac disease and reported no chest pain or palpitations. He had normal effort tolerance. In retrospect he recalled some ankle swelling during the afternoons and mild peri-orbital swelling during the mornings. His surgical history included a Nissen fundoplication.A transthoracic echocardiogram demonstrated a large left atrium and left ventricle. No left ventricular hypertrophy was reported. Ejection fraction on M-mode was normal. A significant finding was an impression on the enlarged right atrium from a possible adjacent lesion.The transoesophageal echocardiogram (TEE) confirmed normal valvular and left ventricular function. There was an aneurysm of the aortic sinus with a windsock in the right atrium, possibly increasing the pressure and volume in the right atrium (Figs 1-3).A CT angiogram was performed subsequent to the TEE. There was aneurysmal dilatation of the right coronary sinus with a tortuous dilated t...

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Aorta-right atrial tunnel

Abstract: Aorta-right atrial tunnel is rare. We report a case of aorta-right atrial tunnel in which the right coronary artery arose from the tunnel. Successful surgical treatment was performed.

Cited by 33 publications

References 4 publications

Aortico-right atrial tunnel in an adult patient

Aortico-right atrial tunnel in an adult patient

Aorta-right atrial tunnel presenting with transposition of the great arteries: a case report

An unusual case of aorta–right atrial tunnel with windsock aneurysm: imaging, diagnosis and treatment

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