Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 8 Supp. 1 2022 11 07 423 425 Dheeraj Kapoor Department of Anaesthesia and Intensive Care, Government Medical College and Hospital, Chandigarh, India. Harpreet Singh Department of Critical Care Medicine, Paras Hospital, Panchkula, India. Deepika Gupta Department of Anaesthesia and Intensive Care, Government Medical College and Hospital, Chandigarh, India. Manpreet Singh Department of Anaesthesia and Intensive Care, Government Medical College and Hospital, Chandigarh, India. Parul Sood Department of Physiotherapy, Government Medical College and Hospital, Chandigarh, India. 2022 02 24 2022 04 04 Bilateral radial dysplasia is a rare condition and usually associated with familial malformation syndromes and spectrum of cardiac anomalies. These patients often require corrective orthopedic surgeries in early age. Radial dysplasia associated with cardiac abnormalities is particularly seen in certain syndromes such as Holt-Oram (HOS) syndrome and TAR (thrombocytopenia, anemia, and radial aplasia) syndrome. We report a successful management of twelve months old male child with rare combination of bilateral radial dysplasia with isolated patent ductus arteriosus (PDA), for corrective orthopedic surgery. A comprehensive approach, which includes an extensive preoperative evaluation and pre-defined perioperative hemodynamic goals for PDA, plays a pivotal role in its perioperative management. https://aacc.tums.ac.ir/index.php/aacc/article/view/493