Transcatheter occlusion of a persistent ductus arteriosus with a diame
ter of more than 9 mm is considered difficult or impossible with the c
urrently available techniques. Usually, these patients have to be oper
ated. We used a simple technique to occlude a 13-mm ductus using two R
ashkind umbrellas introduced simultaneously through the left and right
femoral veins. Complete closure was demonstrated by echo- and angiogr
aphy.