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A 26-year-old woman with membraneous pulmonary atresia and ventricular septal defect (VSD) had undergone valvulotomy of the pulmonary valve and closure of the VSD. She had developed progressive pulmonary valve regurgitation and right ventricular failure unresponsive to conservative treatment. The risk for surgical valve replacement was considered too high because of coexisting restrictive and obstructive pulmonary …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.