A rare case of acyanotic congenital heart disease, large patent ductus arteriosus with pre-ductal coarctation of descending thoracic aorta with patent ductus arteriosus closure and extra anatomical bypass grafting.

We report a case of 18-year-old female patient with large patent ductus arteriosus (PDA)-preductal coarctation of descending thoracic aorta. She underwent large PDA closure with a prosthetic graft from ascending aorta to descending thoracic aorta by mid-sternotomy on cardiopulmonary bypass machine under total hypothermic circulatory arrest.

Aneurysm of all 3 sinuses of valsalva causing coronary insufficiency.

A 35-year-old woman presented with chest pain and easy fatigability. Transthoracic echocardiography demonstrated an unruptured aneurysm involving all 3 sinuses of Valsalva. Successful surgical repair was undertaken, without the need for aortic valve replacement or coronary artery bypass.