Evidence map›Paper›PMID 40026496›Full record

SynthesisReviews in cardiovascular medicine2025

Aorto-Left Ventricular Tunnel: The First Systematic Review of An Uncommon Entity (177 Worldwide Cases from 1965 to 2024).

Pier Paolo Bassareo, Aurelio Secinaro, Paolo Ciliberti, Marco Alfonso Perrone, Niall Linnane, Sophie Duignan, Paolo Ferrero, Massimo Chessa, Kevin Patrick Walsh, Colin Joseph Mcmahon

Abstract readSystematic Review
In one paragraph

Synthesis in Reviews in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Pier Paolo BassareoMater Misericordiae University Hospital, National Adult Congenital Heart Disease Service, D07 R2WY Dublin, Ireland.ORCID https://orcid.org/0000-0002-8374-0260
Aurelio SecinaroAdvanced Cardiovascular Imaging Unit, Bambino Gesù Children's Hospital, IRCCS, 00146 Rome, Italy.ORCID https://orcid.org/0000-0002-2611-8061
Paolo CilibertiDepartment of Cardiac Surgery, Cardiology, Heart and Lung Transplantation Bambino Gesu' Children's Hospital, IRCCS, 00146 Rome, Italy.ORCID https://orcid.org/0000-0002-2176-8516
Marco Alfonso PerroneDivision of Cardiology and CardioLab, Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.ORCID https://orcid.org/0000-0002-0511-2621
Niall LinnaneChildren's Health Ireland at Crumlin, D12 N512 Dublin, Ireland.ORCID https://orcid.org/0000-0002-4224-931X
Sophie DuignanChildren's Health Ireland at Crumlin, D12 N512 Dublin, Ireland.ORCID https://orcid.org/0000-0002-0384-1193
Paolo FerreroAdult Congenital Heart Disease UNIT, Paediatric and Adult Congenital Heart Centre, IRCCS-Policlinico San Donato, San Donato Milanese, 20097 Milan, Italy.ORCID https://orcid.org/0000-0001-7967-7417
Massimo ChessaAdult Congenital Heart Disease UNIT, Paediatric and Adult Congenital Heart Centre, IRCCS-Policlinico San Donato, San Donato Milanese, 20097 Milan, Italy.ORCID https://orcid.org/0000-0001-7432-4815
Kevin Patrick WalshMater Misericordiae University Hospital, National Adult Congenital Heart Disease Service, D07 R2WY Dublin, Ireland.ORCID https://orcid.org/0000-0003-0635-5649
Colin Joseph McmahonChildren's Health Ireland at Crumlin, D12 N512 Dublin, Ireland.ORCID https://orcid.org/0000-0003-0337-9338

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The study was aimed at assessing clinical status and outcome of patients affected by aorto-left ventricular tunnel (ALVT). Methods: A systematic search of keywords relating to ALVT was conducted to identify papers published between 1965 and February 2024 present on Pubmed/Medline and Scopus. Results: A total of 109 studies, which in all consisted of case reports and case series comprising 177 patients (64.2% males, Conclusions: ALVT, an extremely rare congenital cardiac abnormality, may be diagnosed in both newborns and adults. Initial diagnostic observations are usually made using echocardiography, and subsequently refined by means of catheterization, CT or MRI. Surgery should be performed as soon as possible following diagnosis, particularly due to the inefficacy of medical treatment. In selected cases, transcatheter closure may represent a valid option. The condition is associated with a high mortality rate. Moreover, complications, particularly in the form of residual aortic valve regurgitation, may hamper postoperative prognosis. Due to the rarity of the disease, the setting up of an international registry is recommended.

Indexed as

aorto-to-left ventricular tunnelcardiac catheterizationcomputed tomographyechocardiographymagnetic resonance imagingsystematic review

Identifiers

PMID40026496
PMCPMC11868909

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.