An alternative method for repair of aortico-left ventricular tunnel associated with severe aortic stenosis presenting in a newborn.

Although a rare congenital anomaly, aortico-left ventricular tunnel (ALVT) presents in infants as severe aortic regurgitation which can be successfully corrected at the time of diagnosis. In this neonatal case of ALVT, the dominant clinical presentation was of severe aortic stenosis. Ultimately, aortic root replacement with an aortic homograft was required to repair both the ALVT and the dysplastic, stenotic aortic valve.