“…several techniques have been described, with or without cardiopulmonary bypass, including simple ligation, division and suturing, transpulmonary approach, transaortic direct closure, and polyester patch closure via the transaortic approach and the sandwich technique [18]. Currently, some cases of percutaneous closure with favorable results have been reported [14,19,20]. Transaortic approach using a median sternotomy and cardiopulmonary bypass was performed for our patient.…”