Coronary artery anomalies occur in less than 1 % of the general population. With the advent of multidetector rows and 3D reconstruction, multidetector computed tomography has emerged as the modality of choice in the delineation of the complex coronary anatomy and diagnosis of coronary artery anomalies, helping in the institution of appropriate therapy. We report a case of coronary cameral fistula of the left anterior descending artery to the right ventricle, which was closed by an Amplatzer vascular plug. Coronary CT angiography was used to evaluate the patient prior to the procedure to locate the placement site for the vascular plug.

Meningeal melanocytoma is a rare pigmented tumor of the leptomeningeal melanocytes. This rare entity results in diagnostic difficulty in imaging unless clinical and histopathology correlation is performed. In this case report, we describe a case of meningeal melanocytoma of the cervical region presenting with superficial siderosis. Extensive neuroradiological examination is necessary to locate the source of the bleeding in such patients. Usually, the patient will be cured by the complete surgical excision of the lesion.

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Rupture of sinus of valsalva aneurysm is a rare anomaly. It is classified based on the site of rupture. The rarest type is an aneurysm rupturing into the left atrium, left ventricle, or pulmonary artery. The surgery is considered to the treatment of choice in most of the cases where as trans-catheter treatment by the vascular occluder devices is an effective alternative method of treatment. We report the rarest variety of Sakakibara type V aneurysm treated by percutaneous transcatheter Amplatzer PDA occluder device with no post-procedural complication.

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