Open Access

Clinical value of diagnosing aortico-left ventricular tunnel by echocardiography

  • Authors:
    • Manying Xie
    • Jiabao Yin
    • Qing Lv
    • Jing Wang
  • View Affiliations

  • Published online on: September 23, 2016     https://doi.org/10.3892/etm.2016.3747
  • Pages: 3315-3319
  • Copyright: © Xie et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

In order to assess the clinical value of echocardiography in the diagnosis of aortico-left ventricular tunnel (ALVT) the echocardiographic data and clinical manifestations of six patients with ALVT were analyzed in the present study. Based on the results, a comprehensive study was conducted regarding 147 cases from related documents. Six patients were confirmed with ALVT by surgery. The echocardiographic images of the patients revealed an abnormal communication beginning in the ascending aorta above the coronary arteries, bypassing the aortic valve, and ending in the left ventricle. The color Doppler flow imaging showed a high-speed to- and -fro flow with or without the involvement of the aortic valve. According to Hovaguimian type casting, there were two cases of type Ⅰ, two cases of type Ⅲ, one case of type Ⅳ, and one case of type Ⅱ (postoperative recanalization). Of the 153 cases reported, the accuracy rate of the ultrasound diagnosis was 79.6%, the misdiagnosis rate was 17.1%, and the missed diagnostic rate was 3.3%. In conclusion, echocardiography is the preferred method for non‑invasive preoperative diagnosis of the ALVT and can accurately describe the type and involvement of the cardiac structure.
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November-2016
Volume 12 Issue 5

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Copy and paste a formatted citation
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Spandidos Publications style
Xie M, Yin J, Lv Q and Wang J: Clinical value of diagnosing aortico-left ventricular tunnel by echocardiography. Exp Ther Med 12: 3315-3319, 2016.
APA
Xie, M., Yin, J., Lv, Q., & Wang, J. (2016). Clinical value of diagnosing aortico-left ventricular tunnel by echocardiography. Experimental and Therapeutic Medicine, 12, 3315-3319. https://doi.org/10.3892/etm.2016.3747
MLA
Xie, M., Yin, J., Lv, Q., Wang, J."Clinical value of diagnosing aortico-left ventricular tunnel by echocardiography". Experimental and Therapeutic Medicine 12.5 (2016): 3315-3319.
Chicago
Xie, M., Yin, J., Lv, Q., Wang, J."Clinical value of diagnosing aortico-left ventricular tunnel by echocardiography". Experimental and Therapeutic Medicine 12, no. 5 (2016): 3315-3319. https://doi.org/10.3892/etm.2016.3747