Systemic Lupus Erythmatosis (SLE)is an autoimmune disease that can affect all organ systems. The natural history of the cardiovascular manifestations has been altered by systemic corticosteroids used for treatment of SLE. Thus, young patients with SLE may suffer from angina and myocardial infarction. We report our experience of coronary artery bypass grafting in a case of SLE. In this case vessels were diffusely diseased so we did patch angioplasty in these vessels. In conclusion, although the postoperative complications are common, coronary artery bypass grafting could be performed in patients with SLE. Severity of disease, use of appropriate graft and their long term results are the areas which needs extensive research. (Ind J Thorac Cardiovasc Surg 2009; 25: 27-28)

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor.

Tetralogy of Fallots' (TOF) is the commonest cyanotic congenital heart disease. In this modern era when we are doing minimally invasive cardiac surgeries (MICS) and Robotic surgeries it is quiet uncommon to see a tetralogypresenting at the age of 42 years for intra cardiac repair (ICR). We are reporting a case of adult TOF with destroyed lung (post tubercular) who presented to us with severe breathlessness. We did intracardiac repair and successfully managed the case.Tetralogy of Fallots presenting at 42 years is relatively uncommon. TOF with destroyed lung is again a rarity. By our case report we want to give message to surgeons and cardiologist that TOF can present with tuberculosis and destroyed lung at this stage also and can be operated and successfully managed and will be benefited by surgery.