Hypoplastic left heart syndrome and valvular pulmonary stenosis. A rare association that limits the management options.

A term baby had cyanosis 2 hours after delivery; echocardiography showed hypoplastic left heart syndrome HLHS and valvular pulmonary stenosis PS. The opinions of the cardiac centers in Saudi Arabia were taken; however, the baby was not accepted probably because the associated PS made him a poor candidate for a Norwood procedure and because cardiac transplant is not available for infants in Saudi Arabia. He died after 15 days.