Publication

Abstract : PATENT DUCTUS ARTERIOSUS (PDA) is among the most common congenital heart diseases 1 and is often associated with other cardiac defects (eg, ventricular septal defect, tetralogy of Fallot, transposition of great arteries). Early series of children requiring repair of PDA reported an incidence of clinical aortic stenosis (AS) of 3% to 10%. 2 The treatment options for PDA include surgical interruption, video-assisted thoracoscopic surgical clipping, 3 and coil embolization or device closure of the PDA in the catheterization laboratory. 4 The presence of severe AS can adversely affect the intraoperative course in a patient undergoing surgical interruption of PDA. A patient is described in whom surgical interruption of PDA was done in the presence of severe AS.