Myocardial infarction in a 14-year-old girl, ten years after surgical correction of congenital coronary artery fistula.

Acute myocardial infarction developed in a 14-year-old girl, ten years after surgical repair of a coronary artery fistula. Angiography revealed fresh thrombus in the left anterior descending branch of the left coronary artery. The thrombus probably developed in the residual cul-de-sac of the occluded fistula.

Tetralogy of Fallot. Occlusion of the ventricular septal defect due to accessory tricuspid valve leaflet and an associated membranous aneurysm.

A unique case of tetralogy of Fallot is presented in a 3 7/12-yr-old white female. At surgical repair, a ventricular septal defect smaller than usual was demonstrated in the usual infracristal position. The ventricular septal defect was partially obstructed from the right side of the ventricular septum by adherence of an accessory tricuspid leaflet.