He was admitted to the hospital with “shortness of breath with cough for half a month”. On physical examination, he had shortness of breath with trigeminal signs, symmetrical breath sounds in both lungs, slightly coarse breath sounds on auscultation, and no woven woven P-rhythm at 168 beats/min. A systolic grade III/6 murmur could be heard at the left sternal border 2-4, and the dorsalis pedis artery pulsation was weak. After admission, the child had obvious shortness of breath and difficulty in breathing, so he was ventilated with the aid of tracheal intubation, and the perfect chest X-ray indicated bilateral pneumonia and emphysema. After thorough preoperative discussion and improvement of preoperative preparation, we performed aortic stenosis correction + ventricular septal defect repair + arterial duct ligation + slide (Slide method) tracheoplasty under general anesthesia in extracorporeal circulation today. During the operation, the right and left bronchus were successfully reached by fibrinoscopy, and the malformation was satisfactorily corrected, and the child was returned to the care unit.