Cardiac rhabdomyomas are the most common fetal cardiac tumors and can be diagnosed antenatally and postnatally by echocardiography. They are usually asymptomatic and spontaneously regress within the first three years of life and often associated with tuberous sclerosis (TS). The prognosis of patients with rhabdomyomas is mostly determined by the size and location of the lesion. Rhabdomyomas may cause hemodynamic disturbances or arrhythmias due to obstructing the inflow or ventricular outflow tracts or alter valve function, leading to poor prognosis. Although it may regress spontaneously, surgical excision is usually curative, especially in sporadic and single tumors. We report an unique case of antenatally diagnosed as a huge cardiac rhabdomyoma accompanied by hypoplastic left lung and left ventricle, mimicking significant obstruction of the left ventricular and left atrial chamber. The patient underwent urgent surgery, because of severe hemodynamic compromise on the first day of life due to signs of severe obstruction of the left ventricle and left atrium. The large, lobulated epicardial cardiac rhabdomyoma located anterolateral and inferior aspect of the heart; involved the whole left ventricle through the left atrium excised.

Hypoplastic left heart syndrome (HLHS) is an important reason of deaths due to congenital heart diseases in newborns. The first step of palliative operations is generally performed between the first few days and two weeks of their lives to ensure circulatory balance. Patients not treated early are fatal. However, there are patients who can survive without surgical intervention. As in our 2-year-old patient with no growth retardation; protective mechanisms such as widely patent ductus arteriosus, adequate coronary circulation, restrictive atrial septal defect (ASD), normal pulmonary venous return and no significant arterial obstruction can make this possible.

Tracheo-innominate artery fistula (TIF) is a rare and fatal complication that can be seen after tracheostomy, neck and trachea surgery. In this report, we present the surgical treatment of TIF, which is a major bleeding after neck surgery in a 24-year-old male patient.