We herein present the unique case of a 68-year-old male diabetic patient who developed sterile necrosis of the sternum 1 month after myocardial revascularization with the use of bilateral internal thoracic artery grafts. The sternum had been closed by the bilateral Robicsek wiring technique. The sternum was removed, and bilateral pectoralis major flaps were used to cover the defect. The patient had an uneventful recovery.
Aged ; Coronary Artery Bypass* ; Coronary Vessels* ; Humans ; Male ; Mammary Arteries ; Myocardial Revascularization ; Necrosis* ; Sternum* ; Transplants

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

Interrupted aortic arch with an aortopulmonary window is a rare congenital entity that is associated with high morbidity and mortality, especially in premature low-birth-weight infants, and the proper timing of surgical correction remains a matter of debate. We present the case of a premature infant weighing 1.6 kg who successfully underwent one stage surgical repair to treat interrupted aortic arch with an aortopulmonary window. The therapeutic management of this patient is described below, and a review of the literature is presented.
Aorta, Thoracic* ; Aortopulmonary Septal Defect ; Humans ; Infant, Low Birth Weight ; Infant, Newborn* ; Infant, Premature ; Mortality

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