Herein we present a case of concomitant congenital anomalies with an iatrogenic defect. The female patient underwent a percutaneous mitral balloon valvuloplasty due to rheumatic mitral stenosis. Unfortunately, an iatrogenic atrial septal defect (ASD) occurred and also, partial anomalous pulmonary venous return was observed at post-procedure evaluation. The patient had severe symptoms and the right heart chambers were dilated on imaging. But perhaps, the most crucial point was that the patient was planning a pregnancy. After a difficult and patient-involved decision process, the patient underwent to successful robotic surgery for iatrogenic ASD and partial anomalous pulmonary venous return. After operation, the patient was asymptomatic and right heart chambers normalized.

Aortitis, in its simplest definition, is an inflammation of the aorta. It can be divided into two groups as infectious and non-infectious. Noninfectious aortitis can be an involvement of multisystemic and autoimmune diseases as well as being diagnosed incidentally. In our case, in which we planned elective coronary bypass surgery, we encountered an ascending aorta with a pearlish color, dilated and firm consistency intraoperatively. Histopathological examination showed extensive lymphoplasmocytic infiltration and strotiform fibrosis. In the laboratory tests performed for etiology in the postoperative period, no abnormalities were observed in the early and long term. Even when detected isolated and incidentally, aortitis may be a component of a multisystemic and/or autoimmune disease. The time of diagnosis may coincide with the asymptomatic period of the systemic disease. We wanted to present this case because it was detected incidentally during coronary bypass surgery and was diagnosed histopathologically immunoglobulin-G4 related aortitis, although it was not found in clinical and laboratory evaluations.

Transcatheter aortic valve implantation (TAVI) is the more common choice of procedure for the severe aortic stenosis patients with high surgical risk. While the popularity of TAVI increases, TAVI related complications, such as infective endocarditis (IE) increase in number. There are no specific guidelines for TAVI-IE, so shaping a path according to patient’s clinical status is more reasonable. With different advantages for each, multiple imaging modalities should be used for follow-up. In our case, repeated multiple imaging modalities were used to decide early surgery versus conservative approach by detecting periaortic pseudoaneurysm after TAVI.

The giant left atrium is described as atrium with a diameter of 6.5 cm or larger, and can rarely cause dysphagia by compressing on esophagus. We wanted to present this case since we successfully reduced left atrial volume and eliminated gastrointestinal and cardiac complaints with a successful surgery. Cardiac causes of dysphagia are rare, but should be kept in mind in differential diagnosis. With early diagnosis and treatment, cardiac mortality and morbidity can be prevented.