We report a 19 years old woman who, in addition to a large, short, window-like Patent Ductus arteriosus
(PDA), had pulmonary artery hypertension and multivalvular heart disease. After a pulmonary artery
injury during surgery after primary thoracotomy, her PDA was closed transpulmonary with Gore-Tex
patch, via median sternotomy and Cardiopulmonary Bypass (CPB)/Hypothermic Total Circulatory Arrest
(HTCA) and discharged from hospital without any problem. (Rawal Med J 2008;33:118-120).
Patent ductus arteriosus, Cardiopulmonary bypass, Hypothermic total circulatory arrest.