Successful surgical treatment of a septuagenarian with anomalous right coronary artery from the pulmonary artery with an eleven year follow-up. Case report and review of literature

An anomalous origin of the right coronary artery from the pulmonary artery [ARCAPA] is a very rare coronary artery anomaly with only 98 cases reported in literature till date. We report the oldest surgically treated patient and the fourth ever septuagenarian with this anomaly diagnosed ante-mortem with an eleven year follow up. The literature on this anomaly was reviewed and discussed to highlight the clinical implications

Subclavian vein injury and massive hemothorax requiring thoracotomy following insertion of tunneled dialysis catheter. A case report and review of literature

Tunneled dialysis catheters are widely used for hemodialysis. Large caliber dilator is used for insertion of such catheter which can result in serious vascular injury leading to haemothorax. Here we report such an inadvertent central venous injury requiring thoracotomy following blind dilator advancement along with review of literature and recommendation to prevent such complication