A 2-year-old boy initially misdiagnosed with dextro-Transposition of the Great Arteries (d-TGA) was accurately diagnosed with Berry syndrome-an extremely rare congenital heart defect-using multimodal imaging and 3D printing. Echocardiography and CTA revealed aortopulmonary window, anomalous origin of the right pulmonary artery, type A aortic arch interruption, and patent ductus arteriosus. A patient-specific 3D-printed model from CTA data significantly enhanced visualization of complex vascular anatomy. This case highlights the value of combining multimodal imaging and 3D printing for diagnosing Berry syndrome and improving surgical planning for complex congenital heart defects.

This article reports a 59-year-old female with RA-IVC junction mass was initially suspected of old thrombus with ineffective anticoagulation. Multimodal imaging (TEE/CMR) and 3D printing facilitated diagnosis and surgery. Minimally invasive resection and histopathology confirmed a rare cardiac blood cyst, highlighting multimodal imaging's value for such lesions.

We report a rare case of dual ductal-dependent systemic perfusion in type C interrupted aortic arch. Despite imaging confirmation, ductal closure led to cardiopulmonary failure, and surgery was declined. This case underscores the critical need for prenatal diagnosis and coordinated perinatal management to enable timely intervention.

Right atrial lipoma combined with severe coronary stenosis and myocardial bridge is an extremely rare triad in young adults. We report a 34-year-old male presenting with acute palpitations and chest tightness. Multimodal imaging diagnosed a right atrial lipoma, severe left anterior descending artery stenosis, and myocardial bridge. One-stage surgical resection and coronary bypass were successfully performed, with histopathology confirming benign lipoma. At 1-year follow-up, there was no tumor recurrence and cardiac function was normal. This case demonstrates the value of multimodal imaging and one-stage surgery for this rare complex cardiac condition.

This article presents a case of a papillary fibroelastoma of the tricuspid valve discovered 18 months after tricuspid valve surgery. Through multimodal imaging, a relatively complete diagnosis and differential diagnosis of the tumor can be made.

Pseudoaneurysm of the mitral-aortic intervalvular fibrosa (P-MAIVF) is considered exceedingly rare. The mitral-aortic intervalvular fibrosa is an avascular fibrous structure between the anterior mitral leaflet and the aortic annulus. We are presenting an interesting case that required multimodality imaging to establish the diagnosis.

Transesophageal echocardiography (TEE) revealed that supravalvular aortic stenosis was caused by an aberrant fibrous band bridging the left coronary cusp and the sinus wall. This case highlights the advantage of TEE in delineating such abnormal anatomy and guiding precise etiological diagnosis and surgical planning.

This manuscript presents a rare case of a complex pulmonary venous malposition with an intact atrial septum and ventricular septum. The study demonstrates the diagnostic utility of echocardiography and computed tomography in the evaluation of complex congenital heart disease.

Left main coronary artery atresia (LMCAA) is a rare congenital coronary anomaly and sometimes presents with non-specific clinical symptoms that make the diagnosis challenging. We are presenting an interesting case that required multimodality imaging to establish the diagnosis.

Occurrence of patent foramen ovale occluder dislodgment is uncommon. Our patient had a unique mix of an atrial septal aneurysm and widened aortic sinus, rendering it a challenging high-risk complex patent foramen ovale. We performed a second interventional operation within 2 h to successfully remove the dislodged occluder and re-seal the patent foramen ovale.

Cardiac myxoma constitutes the predominant cardiac neoplasm. Right atrial myxoma coupled with congenital bicuspid aortic valve represents a rare constellation in cardiac disease. This case highlights the pivotal role of multimodal imaging in validating tumor origin, disease evaluation, and selection of adjuvant operation plan.

Transesophageal echocardiography (TEE) shows pericardial effusion and a gap between the left atrium and the aortic sinus by atrial septal defect occluder. image