Numerous technical modifications and various complications of the Senning procedure have been described in the literature. We describe the excellent clinical status and anatomic result of a 33-year-old patient who underwent a modified Senning operation using the left atrial appendage for reconstruction more than 30 years prior to presentation.
Adult ; Atrial Appendage ; Cardiac Surgical Procedures ; Humans

Aorto-ventricular tunnel is a rare congenital malformation, and aorto-right ventricular tunnel (ARVT) is an even less common entity. Here, we report the case of a 3-month-old female who underwent successful surgical closure of ARVT. The origin of the right coronary artery was proximal to the ostium of the tunnel.
Aorta ; Coronary Vessels ; Female ; Heart Defects, Congenital ; Heart Ventricles ; Humans ; Infant ; Infant, Newborn

A coronary artery fistula was surgically ligated in a 38-year-old woman via a left anterior mini-thoracotomy without the use of cardiopulmonary bypass. In selected cases, this surgical approach can provide an excellent surgical exposure for coronary artery fistula ligation. It also offers an excellent cosmetic result and shorter hospital stay.
Adult ; Cardiopulmonary Bypass ; Coronary Vessels* ; Female ; Fistula* ; Humans ; Length of Stay ; Ligation* ; Surgical Procedures, Minimally Invasive ; Thoracotomy