We experienced a case of anomalous origin of right pulmonary artery from the ascending aorta associated with pulmonary atresia, ventricular septal defect, absence of left pulmonary artery and multiple major aortopulmonary collateral artery (MAPCA). At ten month of age, left pulmonary artery creation with unifocalization and right pulmonary artery banding were performed as the first stage, followed by coil embolization of right MAPCA 1 month later, and 1 year later, the total correction was done. After total repair, the patient showed good postoperative course, and excellent angiographic and hemodynamic results at 1 year follow-up study.
Aorta* ; Arteries ; Embolization, Therapeutic ; Follow-Up Studies ; Heart Septal Defects, Ventricular ; Hemodynamics ; Humans ; Pulmonary Artery* ; Pulmonary Atresia

We experienced a case of aneurysm of the sinus of Valsalva dissecting into the ventricular dseptum. This dissection was induced by paravalvular leakage after aortic and mitral valve replacement. This 37-year-old male was admitted via emergency room due to progressive dyspnea. He had undergone aortic valve replacement(carbomedic(R) 23 mm) and mitral valve replacement(carbomedic(R) 31 mm) due to aortic regurgitation and mitral regurgitation about 6 years prior to admission and followed up regularly. The diagnosis was made by transthoracic and transesophageal echocardiography and reconfirmed by root aortography. The inlet of the ventricular septal aneurysmal sac was repaired by one layer suture with 3-0 prolene of the endocardium, epicardium and homograft muscle shoulder altogether. Postoperative course was uneventful and the patient was discharged on the 11th postoperative day.
Adult ; Allografts ; Aneurysm* ; Aortic Valve ; Aortic Valve Insufficiency ; Aortography ; Bays ; Diagnosis ; Dyspnea ; Echocardiography, Transesophageal ; Emergency Service, Hospital ; Endocardium ; Humans ; Male ; Mitral Valve ; Mitral Valve Insufficiency ; Pericardium ; Polypropylenes ; Shoulder ; Sinus of Valsalva* ; Sutures ; Ventricular Septum*