SUPRAVALVAR PULMONARY AND AORTIC STENOSES COEXISTING

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Abstract
A case is presented of supravalvar obstruction at the aortic and pulmonary valves in a girl of 20 months. The presence of obstruction of both ventricular ostia should be suspected where signs of pulmonary or aortic stenosis are accompanied by unusual features and should be considered where there are other congenital anomalies. Patients with double stenoses should undergo full investigation of both the right and the left heart, particularly selective angiocardiography, as the anatomical arrangement is much more likely to be surgically unfavourable than in cases of isolated stenosis.