Differences in proxy perception of quality of life appear to be age related. The level of proxy-child agreement was higher compared with other reported studies, with lower levels of agreement in teenagers. Facilitating access to surgery and optimising control of symptoms may improve quality of life in this group of children.

A 38-year-old female with an atrial septal defect and severe pulmonary hypertension presented with angina. Coronary angiogram revealed compression of the proximal left main stem coronary artery. A coronary stent was placed, but the chest pain recurred soon after the procedure. Echocardiography showed protrusion of the coronary artery into the aorta with abnormal angulation of the stent, suggestive of coronary stent fracture. Subsequent CT of the coronary arteries confirmed stent fracture.