A 28-year-old female was discovered to have mitral stenosis associated with ventricular septal defect, patent ductus arteriosus and tubular hypoplasia of the ascending aorta. The diagnosis of such complex anomalies was con firmed by an echocardiographic and cardiac catheterization study. Congenital mitral stenosis is a rare cardiac malformation and usually results in early death. This patient is a relatively long survival case in spite of many complications.
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