Here we report a case of a previously unoperated 35-year-old male TOF patient. He was admitted due to dyspnea, initial physical examination demonstrated cyanosis and heart murmurs. Echocardiography suggested secundum atrial septal defect, perimembranous ventricular septal defect and mild-severe aortic regurgitation. Computed tomography angiography indicated aortic root dilation and suspicious right coronary artery aneurysm. Concurrent repair of TOF and VSARR was performed successfully and the patient had a satisfactory recovery.

We reported a case of a 53-year-old patient with coarctation of aorta and multiple aneurysmatic changes on aortic arch. Enhanced CT and reconstruction revealed significant coarctation and multiple aneurysmatic dilatation. The patient underwent stent implantation and was discharged with symptoms relived. Follow-up examination progression of aneurysms, however, without symptoms.

Human hydatid disease occurs after infection with Echinococcus granulosus, mainly involved liver and lung. Here we reported a 48-year-old woman, who presented to our hospital with intermittent chest pain. Transthoracic echocardiography, Enhanced CT and MRI of heart were performed, revealed the cyst located at the interventricular septum near the right ventricular apex. Other organs including lung and liver were not involved. The cyst was successfully removed, while postoperatively pathological biopsy confirmed the infection of Echinococcus granulosus, thus, she was finally diagnosed as isolated cardiac hydatid cyst.

In this case, we reported an old female with a rare combination of the Scimitar Syndrome and pulmonary artery aneurysm, and she presented with chest pain, fatigue and shortness when admitted in our hospital. Further cardiac examination including echocardiography and computed tomography angiogram were performed and revealed these rare anomalies. Surgical procedure was carried out to cure the patient. This patient stayed in ICU for few days without any major complications and discharged from hospital after 10 days.

We reported a case of a 3-month-old infant presented with supravalvular aortic stenosis with congenital right coronary artery deficiency. According to cardiovascular CT results, Doty technique was adopted to restore the aortic root geometry under cardiopulmonary bypass. An angioplasty was performed to establish right coronary blood flow at the same time. The patient had no abnormal cardiac symptoms after surgery.

In this case report, we describe a rare large right ventricular fibroma with sudden chest pain in a 9 year old child. The tumor was successfully surgical removed under cardiopulmonary bypass, but there was only a small remnant of the tumor to avoid rupture of the right ventricle and injury to the tricuspid valve. Pathological examination confirmed that the tumor was fibrous borderline tumor. The patient's heart function and the size of atrium and ventricles were normal, and there was no tricuspid regurgitation at 3-months follow-up. It was reported that the age less than 17 years old at time of diagnosis are associated with a poor prognosis, the long term outcome for this children patient needs further follow-up.

Aortopulmonary window (APW) is a rare but serious congenital cardiac malformation, most patients with APW will die from congestive heart failure a few months after birth. However, in this case we presented is an extremely rare condition that consist of a type III APW and a ductus arteriosus originated left pulmonary artery. Preoperative diagnosis included echocardiography and chest computerized tomography revealed anatomical structure of the heart and great vessel clearly, cardiac catheterization indicated that the pulmonary resistances indices were 2.92 wood U⁄m^2 in LPA and 3.35 wood U⁄m^2 in RPA, Qp:Qs was 3.26. This patient underwent surgical correction at the age of 9 and successfully survived.

Cor triatriatum is a rare congenital heart malformation with different natural history which depends on the size of the aperture in the partition between the proximal and distal chambers. In classic cor triatriatum all pulmonary veins return to proximal chamber (accessory left atrium, aLA), but this case we reported with left upper pulmonary vein returned to distal chamber (true left atrium, tLA). The partition had one 5mm aperture that allowed this patient grown up to adulthood without any symptoms, but finally resorted to hospital with symptomatic atrial flutter and detected this cor triatriatum accidentally. Atrial flutter may be a long-term complication of cor triatriatum during its natural history, surgical correction of cor triatriatum and radiofrequency ablation for atrial flutter is recommended once diagnosed.

Hemangioma in heart chambers is rare, most cases with heat hemangioma without symptom. The case we presented was an extremely left ventricle hemangioma with hest pain and palpitation after exercise. The tumor was resected under cardiopulmonary bypass, histopathological analysis concluded a benign vascular tumor. Examination of the tumor revealed vascular proliferation and mucoid degeneration in matrix. Immunohistochemistry showed strong positive staining with antibodies against CD31 and CD34, which supported the vascular origin of this tumor.