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Ann Thorac Surg 1998;65:1790-1791
© 1998 The Society of Thoracic Surgeons

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Case Reports

The Large Window Ductus: A Surgical Trap

^a Department of Pathology, Children’s Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA
^b Division of Cardiology, Children’s Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA
^c Division of Cardiothoracic Surgery, Children’s Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA

Accepted for publication January 13, 1998.

Address reprint requests to Dr Richard Van Praagh, Cardiac Registry, Children’s Hospital, 300 Longwood Ave, Boston, MA 02115

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.

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