Anomalous left coronary artery from the pulmonary artery (ALCAPA) was described by Abbott in 1908. In most cases, it is an isolated lesion, being the most common cause of myocardial ischemia in children. The associated mortality rate without intervention reaches 90% during childhood. We report the case of a 67-year-old woman, who underwent coronary angiography for investigation of atypical chest pain and was found to have ALCAPA. The patient refused surgery and has remained asymptomatic on a medical regimen.

with a lateral transfer toward the medial section of the anterior leaflet was achieved easily and without tension. This technique could also be applied to a more posterior segment of the anterior leaflet. To our knowledge, the surgical repair of bileaflet flail of the tricuspid valve has not been described. Common techniques for mitral valve repair, such as flip-over and edge-to-edge, are similarly applicable and successful in tricuspid valve repair as an alternative to tricuspid valve replacement.

A rare case of a newborn with situs inversus totalis associated with simple transposition of the great arteries is reported. A successful anatomical surgical repair was accomplished on day 10 of life, consisting of an arterial switch operation with reimplantation of the coronary arteries.

No abstract

We outline the case of an 18-year-old male patient with a congenital nonoperated interruption of the aortic arch. A right thoracotomy without cardiopulmonary bypass facilitated repair through an extra-anatomic bypass between the ascending and the supradiaphragmatic descending aorta. Results for the immediate and 2-year radiologic and clinical check-up were satisfactory. The most common complications in anatomic correction are stroke under selective cerebral perfusion, risk of paraplegia, and hemorrhage. We present a new technique for repair of interruption of the aortic arch in adults that avoids the need for extended dissection of the aorta and a partial occlusion clamp during anastomosis and allows for cerebral and medullar perfusion.