Background— aortic regurgitation in a bicuspid aortic valve is a complex entity that involves not only the semilunar valve but also the structure of the aortic root which is functionally & pathologically in a very close relationship to it. Considering repairing a bicuspid valve mandates a mindful involvement of all related structures concurrently. Here We report an interested case of both bicuspid aortic valve and mitral valve regurgitation in a patient with history of infective endocarditis, that was successfully managed by double valves repair.

Abstract Spontaneous coronary artery dissection (SCAD) is considered one of the rare causes of acute coronary syndrome. It’s been related to many predisposing factors mostly connective tissue disorders, fibromuscular dysplasia in particular, traumatic and atherosclerosis as the most common etiologic factor. It occurs predominantly more in women & is been associated with stress & pregnancy. Here we present a rare case of coronary artery dissection extending to left main coronary artery in 33 years old women post elective cesarean section.

Abstract Since the COVID-19 outbreak in late 2018, growing evidence supported the association between COVID-19 infection & hypercoagulability. We report an interesting case of a right atrial thrombus in a young female who sustained COVID-19 infection few months before this diagnosis, as a result she required an open-heart surgery to extract the thrombus. Introduction Mobile atrial thrombi are rare to occur with few reported cases in literature, since COVID has masked the face of the universe with a completely new disease entity with multiple systemic affection, has also been strongly linked with prothrombotic state, However, only very few counted cases of atrial thrombi have been linked to COVID-19 infection.