Introduction: Congenital anatomic variants are more frequent in the right atrium. Complete or incomplete bisection of the right atrium by a membrane-like fold across the cavity is designated as cor triatriatum dexter. Even though most of the cases of congenital atrial remnants are asymptomatic, the clinical consequences in the presence of cardiovascular diseases are very contemplative.Case Report: We report a case of an elderly patient with acute coronary syndrome and an incidental finding of pseudo-cor triatriatum dexter. Coronary angiography and intervention was done without any complications. Conclusion:Being an extremely rare entity, a partial form of cor triatriatum dexter is an important congenital anomaly to document on echocardiography, and clinical implications could be correlated by clinicians during the management of multidisciplinary diseases.

The management of pelvic arteriovenous malformations (AVMs) remains challenging due to extensive muscle plane involvement, higher probability of incomplete surgical resection and high recurrence rate. This report describes the case of a 24-year-old male with AVM in the left gluteal region. Vascular surgery would have involved widespread muscle debulking and extensive bleeding. So embolotherapy was preferred over surgical therapy to block the blood flow into the nidus of the AVM. The malformation was successfully treated with no recurrence after 1 year. Peripheral AVMs demands multidisciplinary approach that integrates surgical therapy with embolotherapy. However, embolotherapy can be exclusively developed to improve the outcomes in unusual pelvic AVMs with very low morbidity and no recurrence.

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is one of the rare congenital anomalies with exceptional presentation till adulthood. The complications include left ventricular dysfunction, severe mitral regurgitation and myocardial infarction. We report a case of a young female with dyspnea and murmur with left to right shunt which was finally diagnosed as ALCAPA by multi-detector cardiac computed tomography (MDCT).A 45-year-old female presented with dyspnoea on exertion New York Heart Association [(NYHA) II class] and chest heaviness for seven days. Physical examination reveals 2/6 systolic diffuse murmur over the left sided chest with predominance over the pulmonary area. Electrocardiogram (ECG) reveals sinus rhythm with infrequent premature ventricular contractions (PVCs) and echocardiography reveals left to right shunt flow with inconspicuous ends. Cardiac computed tomography (CT) study reveals very interesting and unusual findings. Only one coronary artery was found to originate from the aortic root (Figure 1A and B). Right coronary artery (RCA) originates from the right coronary sinus as a largesized and ecstatic artery with a highly tortuous course and abundant collaterals (Figure 1C). No coronary origin was detected from the left coronary cusp. Surprisingly, the left coronary equivalent artery was revealed, originating from the main pulmonary artery with course toward anterior interventricular groove and branching into left anterior descending and left circumflex coronary arteries with normal courses (Figure 1D and E). Finally, cardiac CT unveiled the definitive diagnosis of anomalous left coronary artery from the pulmonary artery (ALCAPA).Approximately 90% of the infants with ALCAPA die during the first year of their life and very few survive till