BACKGROUND Right ventricular hypoplasia (RVH) is often caused by tricuspid valve atresia and pulmonary valve atresia. this condition leads to low right ventricular blood volume and right ventricular maldevelopment. But, in adults, the main cause of RVH may also be associated with alloplasia of the right coronary artery, which results in an insufficient blood supply to the right ventricular myoc...

Fig. 1. (a) TOE, modified bicaval view, demonstrates a ‘mass’ in close association to the right atrium (white arrow), (b) TruFISP cardiac magnetic resonance demonstrates that the aneurysm (white arrow) has a perfused central lumen and there was perfusion of the distal right coronary artery, (c) multislice CT demonstrates a grossly aneurysmal saphenous vein graft with a large amount of mural thr...

A rare aneurysm of a congenital coronary arteriovenous fistula is reported. Echocardiography showed a dilated left coronary and left circumflex artery with normal left anterior descending artery. A dilated structure near the crux was confirmed to be a large aneurysm of circumflex coronary artery on selective angiography. It drained into the posterior right atrial wall. Under cardiopulmonary byp...

Coronary artery fistulae are uncommon but may be haemodynamically significant, being an incidental finding in 0.1-0.2% of coronary angiograms. Even rarer is the association between fistulae and non-atherosclerotic coronary artery aneurysms. They most frequently originate in the right coronary artery, and the right cardiac chambers are the most common draining chambers. Most children are asympto...

A patient who developed a left ventricular aneurysm without stenosis of his coronary arteries is presented. A 52-year-old man with a history of severe chest pain 12 years previously, was admitted to our hospital because of right femoral arterial thrombosis. ECG on admission showed QS pattern and ST segment elevation in leads V1-V4 • Left ventriculography revealed that the anterior and lateral w...

BACKGROUND Cardiac lesions, such as coronary dilatation, aneurysms, narrowing, myocardial infarction, and valvular lesions, sometimes occur in Kawasaki disease, but most studies have only evaluated cardiac lesions in the later phase of the disease. This study was undertaken to clarify the related factors between cardiac lesions and laboratory data in the initial phase of Kawasaki disease. MET...

Arun Gopalakrishnan, Sanjay Ganapathi, Krishna Kumar Mohanan Nair, Harikrishnan Sivadasanpillai, Ajitkumar Valaparambil Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala Sir, W read with interest the article by Kerr et al on coronary artery ectasia and congratulate the authors for their work.1 We would like to share a few per...

A 70-year-old man with hypertension was admitted to our coronary ICU with acute anterior MI. Emergent primary PCI was planned and coronary angiography was performed. LAD artery was totally occluded in the proximal segment just after a huge 32 × 26 mm sized aneurysm. Emergent CABG operation was performed in 75 minutes because of multivessel disease including the RCA and left circumflex artery. A...

A 45-year-old male presented with acute anterior infarction. Coronary angiography revealed a 20 mm  30 mm mm left main coronary artery (LMCA) aneurysm (Fig. 1). After separation of the pulmonary artery, anatomic reconstruction of the LMCA using a Y-bifurcated vein graft segment was performed (Fig. 2). The LAD was additionally grafted with the left ITA. Fig. 1. Left main coronary artery with th...

We report a relatively rare case of acute aortic regurgitation due to spontaneous laceration of aorta without dissecting aneurysm. A 73-year-old male who had complained of sudden onset of chest discomfort was admitted to our hospital, and severe aortic regurgitation with aortic valve prolapse was detected by echocardiography. There were not any echographic and radiographic evidences of dissecti...