https://www.um.edu.mt/library/oar/handle/123456789/3663 2026-04-12T20:13:37Z https://www.um.edu.mt/library/oar/handle/123456789/4324 Title: Giant coronary sinus aneurysm and multiple coronary artery aneurysms in a pediatric patient Authors: Abbas, Ume L.; Brownlee, John R.; Adebo, Dilachew Abstract: Giant coronary sinus aneurysm is extremely rare in pediatric population. It was first reported in 1983 by Ho SY et al. Cerebrovascular accident, shock, myocarditis and severe myocardial dysfunction requiring extracorporeal membrane oxygenation are also very rare presentations of Kawasaki disease. Such rare cases are often misdiagnosed at first as septic shock. Kawasaki disease should be considered in all children presenting with toxic shock. This article reports a rare case of giant coronary sinus aneurysm that also had unusual presentation of Kawasaki disease with cerebrovascular accident, shock, myocarditis and severe myocardial dysfunction requiring extracorporeal membrane oxygenation. In our patient, Kawasaki disease was initially misdiagnosed. It was retrospectively diagnosed when cardiac magnetic resonance imaging was performed to evaluate coronary sinus aneurysm. 2015-01-01T00:00:00Z https://www.um.edu.mt/library/oar/handle/123456789/4322 Title: RCC prolapse causing Aortic regurgitation in a restrictive VSD Authors: Abqari, Shaad; Rabbani, Zeinab; Meshram, H. S.; Gupta, A. Abstract: The incidence of aortic right coronary cusp (RCC) prolapse in outlet ventricular septal defect (VSD) is reported at 5%- 16%. Detection of RCC prolapse is critical in patients with outlet VSD because this complication may cause permanent aortic regurgitation. Aortic regurgitation occurs due to a poorly supported RCC combined with the venturi effect due to the VSD jet resulting in cusp prolapse. This is an indication for VSD closure even if VSD is small and restrictive. 2015-01-01T00:00:00Z