Aorta–right atrial tunnel: Clinical presentation, diagnostic criteria, and surgical options Trushar Gajjar, DNB, Choudary Voleti, MD, Rekha Matta, MCh,

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Presentation transcript:

Aorta–right atrial tunnel: Clinical presentation, diagnostic criteria, and surgical options Trushar Gajjar, DNB, Choudary Voleti, MD, Rekha Matta, MCh, Ramnath Iyer, DNB, Prabhat Kumar Dash, DM, Neelam Desai, MCh, DNB The Journal of Thoracic and Cardiovascular Surgery Volume 130, Issue 5, Pages 1287-1292 (November 2005) DOI: 10.1016/j.jtcvs.2005.07.021 Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Preoperative transesophageal echocardiogram (patient 3) showing posterior type of tunnel from the left coronary sinus to the right atrium (RA). AO, Aorta. The Journal of Thoracic and Cardiovascular Surgery 2005 130, 1287-1292DOI: (10.1016/j.jtcvs.2005.07.021) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Anterior type of tunnel, 90° lateral view (patient 5). RA, Right atrium. The Journal of Thoracic and Cardiovascular Surgery 2005 130, 1287-1292DOI: (10.1016/j.jtcvs.2005.07.021) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Posterior type of tunnel with normal coronaries, frontal view (patient 6). RA, Right atrium. The Journal of Thoracic and Cardiovascular Surgery 2005 130, 1287-1292DOI: (10.1016/j.jtcvs.2005.07.021) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Posterior type of tunnel, 30° right anterior oblique view (patient 4). RA, Right atrium. The Journal of Thoracic and Cardiovascular Surgery 2005 130, 1287-1292DOI: (10.1016/j.jtcvs.2005.07.021) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Posterior type of tunnel, frontal view (patient 9). The Journal of Thoracic and Cardiovascular Surgery 2005 130, 1287-1292DOI: (10.1016/j.jtcvs.2005.07.021) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 6 Coil embolization of anterior type of tunnel (patient 8). The Journal of Thoracic and Cardiovascular Surgery 2005 130, 1287-1292DOI: (10.1016/j.jtcvs.2005.07.021) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions