Repair of aorto-left ventricular tunnel type IV with origin above the left main coronary artery

Using full-flow cardiopulmonary bypass, mild hypothermia and cardioplegic arrest, the aortic orifice of the aorto-left ventricular tunnel is closed with an autologous pericardial patch. After a longitudinal incision into the tunnel, a second patch of polytetrafluoroethylene is placed as far distally into the tunnel as possible to exclude most of its lumen from perfusion.

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Publication Details

Journal
Multimedia Manual of Cardio-Thoracic Surgery
Published
2025-03-06
DOI
https://doi.org/10.1510/mmcts.2024.137
Primary Topic
Coronary Artery Anomalies
Type
article
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article

Repair of aorto-left ventricular tunnel type IV with origin above the left main coronary artery

Fabian A. Kari, Jürgen Hörer, Zahra Alalawi, Sebastian G. Michel
Multimedia Manual of Cardio-Thoracic Surgery
Coronary Artery Anomalies
article

Repair of aorto-left ventricular tunnel type IV with origin above the left main coronary artery

Fabian A. Kari, Jürgen Hörer, Zahra Alalawi, Sebastian G. Michel
article en

Abstract

Using full-flow cardiopulmonary bypass, mild hypothermia and cardioplegic arrest, the aortic orifice of the aorto-left ventricular tunnel is closed with an autologous pericardial patch. After a longitudinal incision into the tunnel, a second patch of polytetrafluoroethylene is placed as far distally into the tunnel as possible to exclude most of its lumen from perfusion.

Multimedia Manual of Cardio-Thoracic SurgeryVol. 2025
LMU Klinikum (DE), Deutsches Herzzentrum München (DE), Ludwig-Maximilians-Universität München (DE)
Good health and well-being
Openalex Percentile: Top 94%
Coronary Artery Anomalies
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