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Renal artery stenosis is an important cause of secondary hypertension in young, which can be treated effectively with endovascular interventions including stenting. In-stent thrombosis is an infrequent complication and necessitates the need to follow-up these patients with renal artery stents. We present here a young individual who presented with in-stent thrombosis in a solitary functioning kidney and was successfully treated with stent-in-stent placement.

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.

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