Anomalous origin of branch pulmonary artery from the aorta: Current challenges in the management.

Anomalous origin of a branch pulmonary artery from the aorta is a rare congenital anomaly that requires early surgery to prevent pulmonary vascular disease. The rate of reintervention after surgery remains high. Many aspects of the management could be improved such as assessment of operability in late presenters, selection of suitable surgical technique in each case, and prevention of anastomotic complications.

Ebstein's anomaly with total anomalous pulmonary venous connection in an adult.

Unlabelled: Ebstein's anomaly is a rare congenital cardiac disease which is often associated with various other cardiac anomalies. However, its association with total anomalous pulmonary venous connection is extremely rare with only one case reported so far in the English literature. We report the first successful surgical correction of both Ebstein's anomaly and total anomalous pulmonary venous connection in an adult patient.

Single-stage repair of complex aortic arch anomaly with aortic regurgitation.

Aneurysm of the aberrant left subclavian artery arising from Kommerell's diverticulum is very rare. Early intervention is recommended in such a case to avoid complications. Rarely, such an aneurysm may present with a concomitant cardiac pathology.

Total transatrial correction of tetralogy of Fallot: no outflow patch technique.

Background: The aim of this study was to analyze the feasibility and early results of transatrial total correction of tetralogy of Fallot (TOF).

Methods: Of the 860 patients undergoing total correction for TOF between January 2000 and July 2005, 334 patients were considered morphologically suitable for transatrial total correction. The ventricular septal defect (VSD) closure, infundibular resection, and pulmonary valvotomy were performed through the right atrium without a right ventriculotomy.