Right coronary artery (RCA) communicating to coronary sinus (CS) resulting in aneurysmal dilatation of RCA is a rare congenital anomaly, usually presenting late with complication of left to right shunt and volume overload. We report a case of a 53 years old female presenting with dyspnea on exertion, orthopnea and angina. Echocardiography and computed tomography are suggestive of a fistulous communication of RCA to CS with aneurysm of RCA. Patient was treated surgically and is asymptomatic after three years of follow up.
Neurofibroma arising from intrathoracic vagus nerve is a rare entity. We present a 6-year-old child with stigmata of neurofibromatosis along with a lump in the back. She also had history of on and off cough. On investigation there was a large mediastinal mass abutting the trachea. She underwent a posterolateral thoracotomy with partial resection of the lump. Intraoperatively the mass appeared to arise from the vagus nerve. Post operative stay was uneventful. Biopsy of the mass revealed a benign neurofibroma with no evidence of invasion. She is presently asymptomatic after 1 year of follow-up.
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