Sutureless repair of left ventricular free wall rupture following acute myocardial infarction with cardiogenic shock.

We report a case of blow-out-type left ventricular free wall rupture (LVFWR) after acute myocardial infarction, who presented with unstable hemodynamic condition in New York Heart Association (NYHA) functional class IV. Immediately, we performed a successful LVFWR repair with sutureless technique using a glue and expanded polytetrafluoroethylene patch on cardio-pulmonary bypass support. Postoperative period and recovery was uneventful.

Aberrant right vertebral artery from descending thoracic aorta.

We present a case of an abnormal origin of right subclavian artery and right vertebral artery distal to the origin of left subclavian artery in a 2-year-old patient who presented with cyanotic congenital heart disease with single ventricle physiology. The anomalous origin of a right vertebral artery from the proximal descending thoracic aorta is very rare. We have described the cine-angiographic identification of its origin and course, its embryologic development, and its clinical relevance.

Aneurysmal circumflex aortic arch.

Circumflex aortic arch aneurysm is a rare condition. We report a 9-year-old female with this anomaly who underwent resection of the aneurysmal segment and reconstruction of aortic arch anterior to trachea under cardiopulmonary bypass and deep hypothermic circulatory arrest. The patient was completely relieved of dysphagia and recovered without any cardiac or neurological sequelae.