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To the Editor, Patent ductus arteriosus (PDA) often requires surgical intervention in neonates and infants. During PDA closure, transesophageal echocardiography (TEE) provides consecutive monitoring of ductal flow, allowing detection of a residual shunt and final confirmation of PDA closure [1–3]. However, no reports exist of a residual PDA shunt being detected during pulmonary artery banding (PAB) manipulation on intraoperative TEE monitoring. Here, we describe a low-weight infant in whom a residual shunt following PDA ligation was detected via TEE monitoring during subsequent PAB.

ja clinical reports

Residual shunt in an infant following patent ductus arteriosus ligation detected via transesophageal echocardiography monitoring during pulmonary artery banding: a case report