In a male Maltese two months of age weighing 700 g, patent ductus arteriosuswas diagnosed, based on the results of clinical examinations. Operation was carried out onthis case with excellent results. Characteristic findings of clinical examinations, operation, and postoperative course are summarized as follows.l. Since about l month of age, attacks of congestive heart failure had occurred fre-quently with severe dyspnea and collapse.2. Palpation revealed characteristic, intense and continuous thrill over the precordialregion.3. Auscultation revealed loud machinery-like murmur over the cardiac base, especiallyin the aortic, pulmonic and tricuspid valve areas.4. X-ray findings in the ventrodorsal radiogram revealed the characteristic "dancing"of the main pulmonary artery and a leftward bulge of the descending aorta with the peculiarteardrop shape of the heart.5. PCG findings revealed systolic murmur which was of diamond type between heartsounds I and II.6. ECG findings revealed deviation of the electric heart axis, dilatation of the bilateralatria and ventricles, and abnormalities in the formation and conduction of stimuli.7. After thoracotomy at the left 3rd intercostal space, the ductus arteriosus was con-firmed between the descending aorta and the bifurcation of the main pulmonary artery.It was remarkably broad, about 0.5 cm in length and 0.8 cm in diameter, and cylindrical inshape.8. On the first postoperative day, hemorrhage was noted in both anterior ocular chambers. It disappeared completely within 5 days after operation.9. On the 30th posLoperative day, all abnormalities disappeared, except a slight dilataLion of the left ventricle, in clinical examinations.
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