European Heart Journal Advance Access originally published online on May 20, 2009
European Heart Journal 2009 30(18):2203; doi:10.1093/eurheartj/ehp228
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org
Critical aortic stenosis in combination with an aorto-left ventricular tunnel: a rare congenital malformation
1 Clinic of Cardiovascular Surgery, German Heart Center Munich at the Technical University, Lazarettstrasse 36, 80636 Munich, Germany
2 Clinic of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich at the Technical University, Lazarettstrasse 36, 80636 Munich, Germany
* Corresponding author. Tel: +49 89 12184111, Fax: +49 89 12184113, Email: schreiber@dhm.mhn.de
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On the first day of live, a female newborn with a three out of six systolic murmur on the right sternal border showed signs of heart failure: dyspnoea, tachypnoe, low blood pressure. On echocardiography, the diagnosis of a critical aortic stenosis with a pin whole ostium was established and a