A sternal cleft is a chest wall malformation resulting from a failure of sternal fusion. It is a rare anomaly with an incidence of 2:100,000 live births representing less than a percent of all chest wall deformities. The aim of surgery is to provide bony protection over the mediastinal structures. We present a 27-day-old neonate with an upper partial sternal cleft for whom successful primary sternal closure was performed.

Dextrocardia with situs inversus is a rare congenital anomaly in which the heart and the abdominal organs orient themselves in a mirror-image reversal of the normal anatomy. Coronary artery disease incidence is similar to that of the normal population. Performing coronary artery bypass grafting in this subset of the population poses few difficulties. These limitations can be overcome by few technical adjustments by the surgeon and the team which will be discussed in our article.

A 12-year-old girl, with incessant atypical idiopathic left ventricular tachycardia, underwent successful radiofrequency ablation of ventricular tachycardia focus originating from a subepicardial site adjacent to the left coronary cusp. Ventricular tachycardia was successfully eliminated by targeting an endocardial site concordant to the epicardial site of early activation. Epicardial mapping was useful in locating an effective ablation site, and aortic root angiography was used to avoid potential injury to important structures, such as the left main coronary artery and left coronary cusp.

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