Science and Education Publishing American Journal of Medical Case Reports 2374-216X 3 3 2015 01 28 Coarctation of Aorta with Supravalvular Pulmonary Stenosis in an Adult Patient: A Rare Exception of the Fetal Flow Pattern Theory 53 58 EN Manish Ruhela Department of Cardiology, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, India Harneesh Randhawa Prachi Bagarhatta Rajeev Bagarhatta Anoop Jain AJMCR2015331 10.12691/ajmcr-3-3-1 2014 12 31 2015 01 24 2015 01 28 Coarctation of the aorta is a common congenital defect whose overall incidence is 5-8% of all congenital cardiac anomalies. Associated cardiac anomalies have been well described in previous studies examining specific subgroups of coarctation of aorta patients, particularly infants, excluding older children, adolescents, and adults. The association of coarctation with left-sided obstructive lesions ( Bicuspid aortic valve, Parachute mitral valve, Mitral atresia, Aortic atresia ) were well documented in the literature. The association of coarctation of aorta with right- sided obstructive lesions is rare and a hemodyanamic explanation based on fetal flow pattern was given for this. Herein we report a case of coarctation of aorta with right sided obstructive lesion in form of supravalvular pulmonary stenosis in an adult female. To the best of our knowledge this is the first case report where an adult female presented with coarctation of aorta along with supravalvular pulmonary stenosis.