TY - EJOU AU - Negm, Sherif AU - Mace, Loic AU - Louali, Fedoua El AU - Desnous, Beatrice AU - Aldebert, Philipe AU - Fouilloux, Virginie AU - Lenoir, Marien TI - Fate of Right Coronary Artery Occlusion after a Surgically Repaired Aorto-Ventricular Tunnel in a Neonate T2 - Structural and Congenital Heart Disease PY - 2024 VL - 19 IS - 3 SN - 3071-1738 AB - The aorto-ventricular tunnel is a rare congenital cardiac anomaly. We present a case of aorto-ventricular tunnel diagnosed via fetal echocardiography. Emergency surgery was performed on the 2nd day of life to close the tunnel, located just in front of the right coronary ostium, due to the patient’s unstable health condition. The postoperative period revealed complete occlusion of the right coronary artery. Due to the patient’s stability, we opted not to reintervene on the right coronary artery. The patient fully recovered without the need for further coronary intervention. In cases of patients with an aorto-ventricular tunnel (AVT) and associated coronary lesions, it is crucial to exercise caution when intervening in the coronary arteries. KW - Aorto-ventricular tunnel; aorta; right coronary artery DO - 10.32604/chd.2024.051642