Various intracardiac defects may be associated with anomalous pulmonary venous drainage, atrial septal defect being the most common. However, reports of coexisting valvular heart disease are sparse. Two such cases are presented. In one patient the combination of anomalous venous connexion of the left pulmonary veins and atrial septal defect was associated with congenital aortic stenosis. The other patient had anomalous pulmonary venous connexion of the left lung and cal-S cific mitral regurgitation. Both patients presentedfor operation during their adult lives. Diagnostic procedures and operative treatment are discussed.

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