Abstract
We present the case of a patient with Noonan syndrome who was seen for the first time at the age of 69∞∞years with combined pulmonary valve stenosis and atrial septal defect. The patient was treated by a staged percutaneous approach. The treatment of these combined congenital heart defects remains challenging because their haemodynamics interact directly. In this case report we discuss both the underlying pathophysiology and haemodynamics.