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A 67-year-old Chinese man with a history of hypertension, diabetes mellitus and hyperlipidaemia was admitted for coronary angiographic study. Two years ago, he had an episode of acute myocardial infarction, for which he was treated by intravenous thrombolytic therapy, followed by percutaneous coronary intervention with stent implantation of the left anterior descending coronary …

A 59-year-old women underwent diagnostic coronary angiography with a history of atypical chest pain and an inconclusive treadmill exercise tolerance test. Cine-angiogram revealed an unusual …

Although only about 10% of infants born with tetralogy of Fallot survive without surgical treatment beyond 20 years, it still remains the most common cyanotic congenital heart disease in adults. A 25 year old man presented with complaints of dyspnoea on exertion and …

A 47 year old woman was admitted to our hospital because of worsening shortness of breath on exertion which had initially occurred about 10 years previously. Transthoracic echocardiography showed the dilated coronary sinus protruding into the left atrium (below left, LA, left atrium; …

Congenital coronary arteriovenous fistula is a relatively rare anomaly that can cause severe symptoms, especially in older patients. Left: congenital isolated coronary arteriovenous fistula originating from the mid portion of the left descending coronary …

A 34 year old woman presented with increasing shortness of breath, and a secundum atrial septal defect (ASD) was diagnosed by transthoracic echocardiography. A preoperative transoesophageal echocardiogram demonstrated a large secundum ASD with left to right shunt, and a dilated right ventricle (RV) with a pulmonary artery systolic pressure …

A 64 year old woman presented with chest pain. Exercise stress testing showed upsloping ST segment depression (maximally 0.15 mV in precordial leads) without …

The early and late results of surgical treatment in 23 patients with congenital coronary artery fistula (CCAF) are presented. One patient died for reasons unrelated to the fistula during corrective surgery for an associated complex cyanotic abnormality. The patients with isolated CCAF and preoperative symptoms improved significantly after surgical closure of the CCAF (p less than 0.05). We conclude that all symptomatic patients with CCAF should be treated with surgical closure of the fistula.

Successful surgical correction for anomalous origin of the left coronary artery from the pulmonary artery in a 4-year-old child is reported. An aortopulmonary fistula was created and a pericardial baffle was inserted within the pulmonary artery to connect the fistula to the ostium of the left coronary artery. The clinical, haemodynamic, and angiographic features of the anomaly are presented. The child's progress is satisfactory 17 months after the operation.

Improved techniques of transvenous pacing have made it possible to use this approach in various congenital cardiac abnormalities. Transvenous active fixation pacing leads were implanted in seven patients aged 15 to 81 years with abnormal venous, atrioventricular, or ventriculoarterial connections with successful ventricular pacing.

We report what appears to be the first case diagnosed in life at cardiac catheterisation of anomalous origin of both of the coronary arteries from the pulmonary trunk, and its attempted surgical correction.