A case of a 16-year-old female with tetralogy of Fallot and absent pulmonary valve is presented, who on coronary angiography and computerized tomography (CT) angiography had severe compression of the left main coronary artery by the dilated main pulmonary artery. The patient was successfully managed by surgical correction of the intracardiac defect, with right ventricular outflow tract reconstruction by the Contegra(®) bovine jugular vein conduit.

Introduction Prosthetic Valve Thrombosis (PVT) is a devastating complication of mechanical valve implantation. Treatment of PVT is usually by thrombolysis or by surgery. While the results of thrombolysis of thrombosed mitral valve is well established, results at the aortic position are not well reported. We sought to compare the results of thrombolytic therapy for thrombosed prosthetic bileaflet mechanical valve at the mitral and the aortic position. Methods The data of 86 patients who had 94 episodes of PVT at the mitral or the aortic position, presenting between

Aortomitral intervalvular fibrosa aneurysm is a rare entity but a life-threatening condition. We present a case of young male presented with NYHA functional class IV dyspnea where aneurysm ruptured into the left atrium.

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(J Card Surg 2012;27:611)

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