Valve-sparing aortic root replacement in a patient with retroaortic course of the left circumflex artery.

Anomalous origin of the left circumflex artery (LCA) arising from the right coronary sinus was observed in a 45-year-old man with aortic root aneurysm. Valve-sparing aortic root replacement (VSARR) was decided despite the subannular course of the LCA. A modified Tirone David procedure was performed with specific consideration for distribution of the proximal suture line due to the periaortic and subannular course of the LCA.

Renal angiomyolipoma with IVC thrombus: A case report.

Introduction: Renal angiomyolipomas (AML) are often regarded as benign tumors. This article reports the case of a 47 year old patient with AML associated with a venous invasion of the inferior vena cava.

Presentation Of Case: Our 47 year old male patient presented for flank pain and hematuria.