Abnormal Left Coronary Artery from Pulmonary (ALCAPA) is a rare congenital coronary anomaly in which the left main artery arises pulmonary trunk, resulting to right shunt. ALCAPA associated with septal defects and patent ductus arteriosus. The case discussed had secundum atrial defect. Sudden cardiac death feared complication. We discuss hemodynamics of this shunt combination outline its manage...

Infective endocarditis in hemodialysis patients is a serious complication of the dialysis catheter. Pulmonary complications are rare and may include lung abscess. We report case 72-year-old chronic female patient diagnosed with tricuspid valve complicated by giant abscesses. This underlines impact on poor outcomes IE patients.

A case of systemic lupus erythemaosus with an unusual complication of pulmonary hypertension leading to cor pulmonale is reported. Lung biopsy showed an interstitial pneumonitis with pulmonary vascular narrowing causing pulmonary hypertension. These changes appeared to be immunologically mediated by the utilization of IgG and C3. Microtubular virus-like particles were present in the endothelial...