The Large Window Ductus: A Surgical Trap

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Presentation transcript:

The Large Window Ductus: A Surgical Trap Jürg Grünenfelder, MD, Ulrike Bartram, MD, Richard Van Praagh, MD, Kevin E Bove, MD, Warren W Bailey, MD, Richard A Meyer, MD, Peter R Koenig, MD, Angel R Perez, MD, David C Schwartz, MD The Annals of Thoracic Surgery Volume 65, Issue 6, Pages 1790-1791 (June 1998) DOI: 10.1016/S0003-4975(98)00280-X

Fig 1 (A) External frontal view of the specimen of heart and lungs. Note the two surgical clips (Clips) occluding the aortic arch just proximal to the large patent ductus arteriosus (PDA). (B) Frontal view of opened right ventricle (RV), pulmonary valve (PV), main pulmonary artery (MPA), PDA, and descending thoracic aorta (Desc Ao) to show very large and extremely short window ductus. Note the absence of wrinkled ductal intimal pads. The MPA is confluent via the PDA with the Desc Ao. (Asc Ao = ascending aorta; Innom = innominate artery; LA = left atrium; LCC = left common carotid artery; LS = left subclavian artery; LV = left ventricle; RA = right atrium.) The Annals of Thoracic Surgery 1998 65, 1790-1791DOI: (10.1016/S0003-4975(98)00280-X)