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In a 14-month-old patient who had been repeatedly hospitalized for recurrent pulmonary infections, cardiac angiography found "absence" of the left pulmonary artery, but thoracic aortography demonstrated that a rudimentary patent ductus filled a distal patent pulmonary artery. There was a coexistent vascular ring with a retroesophageal right subclavian artery. At surgical exploration it was possible to mobilize the distal left puLmonary artery and perform a direct anastomosis between the leftdoi:10.1161/01.cir.37.1.62 pmid:5634730 fatcat:n25ntij2nrhofkifykhulhwhce