Background Sinus of valsalva aneurysm (SVA) with rupture is a rare cardiac anomaly which can be congenital or acquired with reported incidence of 0.46%–3.57% among Asians population. Aim of the Study The aim of this study is to analyze 30 years of single institutional surgical experience in management of 216 cases with SVAs from 1992 till date. Methods Age group was from 6 to 64 years (mean: 32.5 ± 11 years) with male to female ratio of 2.2:1. The aneurysms originated from right coronary sinus in 181 cases (83.79%), noncoronary sinus in 35 cases (15.74%) and ruptured into the right ventricle in 149 cases (68.98%), right atrium in 59 cases (27.31%). Bicameral approach was used in majority of the cases (n = 213, 98.61%). Aneurysms were repaired using Dacron patch in 173 cases (80.09%) and direct closure in 43 cases (19.9%). Associated ventricular septal defect was closed with Dacron patch in 123 cases (56.94%). Aortic valve was replaced in 21 cases (9.72%) and aortic valve repair was performed in 14 cases (6.48%) for associated Aortic regurgitation. Results There were no perioperative hospital deaths. Follow‐up was available in 204 patients (94.44%) ranging from 2 to 26 years (mean: 10 ± 5.6 years). Two deaths (0.92%) occurred during the postoperative follow‐up period. The actual survival was 99.5% at 1 year, 99% at 5 and 10 years. Conclusion Long term results of surgically repaired SVAs are good with low morbidity (3.24%) and mortality (0.92%) even when associated with major cardiac anomalies. Aortic valve repair and replacement both are equally feasible alternatives for management of moderate to severe aortic regurgitation with associated merits and demerits.

Background Double Chambered Left Ventricle is a very rare congenital cardiac condition with limited cases reported in literature, etiology of which is obscure and presentation can be varied. Aim of the study To share our experience of two diverse cases of Double Chambered Left Ventricle at our institute. Results Two diverse cases of Double Chambered Left Ventricle were appropriately diagnosed and successfully managed. One of which one was congenital and the other was acquired Methods Both the patients had an uneventful peri‐operative period. Conclusions Double Chambered Left Ventricle is a condition which remains an enigma. Diagnosis requires a high degree of radiological suspicion for prompt diagnosis and good surgical outcomes.

Background: We report a series of 7 patients of right pulmonary artery to left atrium fistula operated in our institute between 1998 and 2019. Aim of the Study:To present a comprehensive management of right pulmonary artery to left atrium fistula in an organised manner with excellent results, even in adult population.Methods: Seven consecutive patients of RPA to LA fistula were investigated with appropriate diagnostic modalities and underwent successful surgical correction.Results: Post procedure the oxygen saturation improved to >95% in all the patients. There were no early or late post-operative deaths. All patients underwent TTE at every follow up.Conclusion: Appropriate use of imaging techniques helps in exact diagnosis with anatomical delineation which decides the further line of management in relieving the symptoms and prevention of complications of the fistula.

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Traumatic pseudoaneurysm of subscapular artery is a rare sequlae of injury in the shoulder region. Only five cases are on report and none after World War II. This rarity of the lesion is due to the anatomic location of the artery 4. We report a 21 years old patient transferred for torrential bleeding from the wound of entry, followed by appearance of progressively expanding, pulsatile, painful swelling, after three days of splinter injury sustained in right scapular region while working in the field. The diagnosis was confirmed by Doppler ultrasonography and computerized tomographic angiography. Successful surgical aneurysmectomy and ligation of rented subscapular artery done without affecting axillary artery.