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Use of an Amplatzer Duct Occluder for Closing an Aortico-Left Ventricular Tunnel in a Case of Noncompaction of the Left Ventricle

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Abstract

Aortico-left ventricular tunnel (ALVT) is a very rare congenital anomaly. Noncompaction of the left ventricle or “spongy myocardium” is another rare congenital cardiomyopathy. We report probably the first case in which these two rare anomalies causing pump failure coexisted in a 4-year-old male and the tunnel was successfully treated nonsurgically. Transcatheter closure of ALVT with the Amplatzer duct occluder is feasible and safe in a case of noncompaction of the LV with reduced LV function.

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Acknowledgements

We are grateful for the donation of a 16 × 14-mm Amplatzer duct occluder from Dr. Kurt Amplatz. We also thank him for the timely suggestions and guidance during the procedure in which the first ALVT in the world was closed surgically. We thanks Dr. George Joseph for his kind assistance. We also thanks Mr. Mohan Nayak and Smt. B.V. Sumangala.

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Authors and Affiliations

  1. Department of Pediatric Cardiology, Children’s Heart Care Centre, Sri Jayadeva Institute of Cardiology, “ADITI” 44 A, V Main Road, Vijayanagar II Stage, Bangalore 560040, Karnataka, India

    I. B. Vijayalakshmi, N. Chitra & A. N. Prabhu Deva

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  1. I. B. Vijayalakshmi
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  2. N. Chitra
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  3. A. N. Prabhu Deva
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Correspondence to I. B. Vijayalakshmi.

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Vijayalakshmi, I., Chitra, N. & Prabhu Deva, A. Use of an Amplatzer Duct Occluder for Closing an Aortico-Left Ventricular Tunnel in a Case of Noncompaction of the Left Ventricle . Pediatr Cardiol 25, 77–79 (2004). https://doi.org/10.1007/s00246-003-0548-6

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  • DOI: https://doi.org/10.1007/s00246-003-0548-6

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