Hybrid stenting of branch PA is a safe and effective option for PA reconstruction in redo cardiac surgeries. With meticulous planning, it can be safely performed without fluoroscopy.

We report a case of 2-year-old boy who presented late after PDA device embolization to descending aorta. He had mild obstruction with erosion of the intimal layer of descending aorta caused by the device that was successfully retrieved surgically with reconstruction of the aortic segment.

A 6-year-old girl, a known case of Kawasaki disease, presented with acute thrombotic occlusion of right coronary artery (RCA) with symptoms of acute angina and myocardial dysfunction. She underwent beating heart off-pump coronary artery bypass graft (CABG) surgery with right internal mammary artery (RIMA) grafted to distal RCA. Follow-up computed tomography angiogram revealed well-flowing RIMA with no obstruction or kink. This case highlights the importance of CABG as a safe and life-saving procedure in expert hands, even for children in emergent conditions.

Congenital pulmonary vein stenosis is a rare and interesting condition. This disease was classically believed to have an exceptionally bad prognosis. This article reviews the pathophysiology of the disease and advancements in diagnosis and management.