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Ann Thorac Surg 1992;54:368-370
© 1992 The Society of Thoracic Surgeons


Articles

Congenital aortic stenosis and patent ductus arteriosus in the adult

Donald D. Glower, MD*, Thomas M. Bashore, MD, Charles E. Spritzer, MD

Departments of Surgery, Medicine, and Radiology, Duke University Medical Center, Durham, North Carolina USA

Accepted for publication December 3, 1991.

* Address reprint requests to Dr Glower, Duke University Medical Center, Box 3851, Durham, NC 27710.

Concurrent aortic stenosis and patent ductus arteriosus are not infrequent in children but are rare in adults. An adult case is described with diagnosis by cardiac catheterization and magnetic resonance imaging and with management by combined aortic valve replacement and patent ductus ligation. Review of the English-language literature produced only 8 such cases in adults, 2 of which were managed by a single-stage operation. Successful diagnosis in the adult requires careful observation at cardiac catheterization, and simultaneous valve replacement and ductus ligation may be a useful option in patient management.




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