Aims: Until the early ninethies the Senning/Mustard operation was the standard technique for correction of TGA. However, its long-term complications (RV-failure, arrhythmias, re-interventions) are well recognized. In contrast, little is known about the Quality of Life (QoL) of this special subgroup of GUCH patients.

Aims: Right heart failure due to pulmonary hypertension is a major cause for morbidity and mortality in cardiac surgical patients especially after heart transplantation (HTx) and mitral valve surgery. We present our experience with the use of oral Sildenafil in the pre- and postoperative treatment of elevated pulmonary resistance (PVR) in 10 patients.

Objective: Little is known about physical and psychical aspects in patients with Marfan syndrome (MFS). Aim of the present study was to analyse QoL, anxiety and depression and individual physical perception in patients suffering from genetically confirmed MFS.

A 70-year-old-man presented with a symptomatic three vessel coronary artery disease and was scheduled for myocardial revascularization. During extracorporeal circulation an intrathoracal bleeding occurred and aortic rupture was suspected. An iatrogenic plaque rupture in the concavity of the aortic arch was found due to cannulation attempts. The aortic arch was grafted in the so-called elephant trunk technique. Thereafter bypass grafts were anastomosed to the stenosed coronary arteries. The patient was discharged from hospital after 2 weeks in good condition.