Abstract
Two patients have been described with absence of the pulmonary valve complicating ventricular septal defect in infancy. Both patients, presented a similar, probably characteristic, picture with intractable heart failure in early infancy, associated with a loud, diffuse systolic murmur, a "to and fro" murmur at the pulmonary area, marked dilation of the pulmonary trunk, and a normal arterial pulse. It is suggested that such infants might benefit greatly by banding the main pulmonary artery.

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