Atrial septal defectPulmonary valve stenosis a b s t r a c t Severe pulmonary valve stenosis in association with a large atrial septal defect is uncommon. Simultaneous percutaneous closure of the atrial septal defect and pulmonary valvuloplasty appears to be an attractive modality when compared to patients with these two lesions being subjected to surgery or being treated percutaneously at different sittings.We encountered a case of 40 years female, with significant pulmonary valvular stenosis associated with large 27 mm ostium secundum atrial septal defect. Both lesions were successfully treated percutaneously in the same sitting. Pulmonary valvuloplasty was done initially and the atrial septal defect closed later to minimize catheter manipulation after device implantation.

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