Adult patent ductus arteriosus: successful surgery with mitral valvuloplasty.

The development of left ventricular dysfunction is a serious complication of long- standing patent ductus arteriosus. An 80-year-old woman who underwent patent ductus arteriosus ligation 13 years previously developed congestive heart failure and mitral regurgitation. She underwent surgical repair with transpulmonary ductus closure and mitral valve annuloplasty under cardiopulmonary bypass. She made a full recovery with improved left ventricular function.