Ventriculo-peritoneal shunt surgery in an infant with double aortic arch, patent ductus arteriosus and atrial septal defect.

[hydrocephalus with stenosis of the aqueduct of sylvius]

Double aortic arch with patent ductus arteriosus and atrial septal defect is an uncommon association . Such complex cardiac lesions may complicate an otherwise normal anesthetic course . We came across a case with aqueductal stenosis and hydrocephalus , scheduled for ventriculo-peritoneal shunt surgery , on an emergent basis . The child was managed successfully . The anesthetic implications of resultant left-to -right shunt with increased intracranial pressure have been described .