Patent Ductus Arteriosus with Reversal of Flow

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Abstract
SHOULD closure of a patent ductus arteriosus with reversal of flow be attempted? If so, how can the high surgical mortality hitherto reported1 2 3 be reduced? An attempt is made to answer these questions on the basis of a case of this syndrome in which records were available from the age of ten years to death during operation at the age of twenty-five.Case ReportIn 1938 a 10-year-old girl came under the observation of Dr. Ernst Boas. We are indebted to him for the findings presented below. At the age of six months an enlarged heart had been found on . . .