Left internal mammary artery (LIMA) is the most commonly used graft during coronary bypass surgery. LIMA side branches are clipped during surgery in order to prevent coronary steal. In cases of patent LIMA side branches, there are differingapproaches. Herein, we report a case with patent thoracic side branch of LIMA graft, occlusion of this side branch by Amplatzer Vascular Plug because of docu...

Aorto-right ventricular tunnel (ARVT) is a very rare, congenital, abnormal extracardiac channel that connects the ascending aorta at or above the sinotubular junction to the cavity of the right ventricle. Only 16 cases have been reported thus far in the English literature. We report the first transcatheter closure of ARVT with the Amplatzer duct occluder II in an infant, with both coronary arte...

Sir, An aortopulmonary window (APW) is a rare cardiac malformation, first reported by Elliotson, is found in 0.1% of patients with congenital cardiac lesions.[1] In most cases, surgical repair is undertaken during infancy although isolated cases have been reported of transcatheter device closures. We report our experience of transcatheter APW closure via antegrade and retrograde methods using a...

Clinically significant mitral prosthetic paravalvular leaks may occur in up to 5% of patients following surgical mitral valve replacement. Successful closure may offer relief from symptoms of heart failure and hemolysis, but surgical closure is associated with increased morbidity and mortality. Alternative transcatheter closure techniques are being developed. We present a patient who was succes...

A 7-year-old boy developed increasing cyanosis after a total cavopulmonary connection with a 3 mm fenestration in the baffle. Catheterisation performed 4 years and 7 months after the operation showed reopening of a left superior caval vein draining into the pulmonary venous atrium. Due to the large size of the left superior caval vein, and the absence of intrinsic stenosis, we chose to use an A...

Swiss-cheese atrial septal defect (ASD) is a malformation characterized by multi-fenestrated interatrial defects. Here, we describe vignette of 23-year-old man with Swiss-Cheese ASD two defects areas 0.74 cm2 and 0.44 cm2, complicated an aneurysm successfully repaired cribriform amplatzer occluder (ASO) via the percutaneous transcatheter approach. This case emphasizes importance attaining clear...