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Transcatheter intraportal infusion of chemotherapy in a patient with metastatic liver disease resulted in erosion of the tip of the catheter into the biliary system within six months of its placement. This unusual complication adds to the disadvantages of direct portal administration of chemotherapeutic agents in the treatment of hepatic tumors.

Fistulas between the coronary artery and the left heart chambers are exceptionally rare, especially those emptying into the left ventricle. We know of 33 cases of coronary artery-left ventricular fistulas reported in the literature, 7 of which had multiple communications. The findings in 6 additional patients with multiple coronary artery-left ventricular fistulas are reported. Three of the 6 patients had fistulas communicating to the left ventricle from all three major coronary arteries. It is important to recognize this anomaly as it may be the source of angina in patients without angiographic evidence of major atherosclerotic coronary artery disease.

A case of mesenchymal hamartoma of the liver in a 30-year-old female is reported. Ultra-sonography, computed tomography, and hepatic angiography demonstrated the presence of a large, mixed cystic and solid mass within the liver, suggesting the diagnosis of a mesenchymal hamartoma. At surgery, the tumor proved to be unresectable.