The large window ductus: a surgical trap

Ann Thorac Surg. 1998 Jun;65(6):1790-1. doi: 10.1016/s0003-4975(98)00280-x.

Abstract

A rare window type of patent ductus arteriosus is reported that was large (15 mm in maximal transverse dimension) but had virtually no length and hence was externally invisible. The smaller aortic isthmus (4 mm in diameter), which was intrapericardial, was mistaken for the ductus and was inadvertently clip-occluded, leading to death. After a specific diagnosis is made, the large window ductus should be patched on cardiopulmonary bypass with a transpulmonary approach.

Publication types

  • Case Reports

MeSH terms

  • Aorta, Thoracic / abnormalities
  • Aorta, Thoracic / surgery
  • Cardiopulmonary Bypass
  • Constriction
  • Cor Triatriatum / surgery
  • Coronary Vessels / surgery
  • Ductus Arteriosus, Patent / classification*
  • Ductus Arteriosus, Patent / pathology
  • Ductus Arteriosus, Patent / surgery
  • Fatal Outcome
  • Heart Septal Defects, Atrial / surgery
  • Humans
  • Hypertension, Pulmonary / surgery
  • Infant
  • Male
  • Pericardium / pathology
  • Pericardium / surgery
  • Pulmonary Artery / abnormalities
  • Pulmonary Artery / surgery
  • Vena Cava, Superior / abnormalities
  • Vena Cava, Superior / surgery