A 6-year-old girl was presented with a history of The vein graft was harvested from the right healthy increasing walking disability. There were no symptoms leg because of its larger size. The postoperative course of vascular insufficiency, but orthopaedic assessment was uneventful. revealed 4 cm shortening of the left leg.

She had been under surgery for aortic coarctation at the age of 1 week and 5.5 months, for Shone Result syndrome (subaortic stenosis, ventricular septum defect, parachute initial valve, left upper vena cava). Follow-up measurements are listed in Table 1. Ankle–The first operation consisted of correction of isthmic brachial pressure index (ABI) improved rapidly but stenosis. During the second procedure transatrial re-leg shortening was much slower. Two years postsection of subaortic stenosis through the ventricular operatively there was still a difference of 0.8 cm. At septum defect (VDS) was accomplished. Secondly, the the last follow-up, 2.5 years after surgery, all measures VSD was closed by patch plasty (PTFE allograft). had equalised (Table 1). The 8.5-year-old girl showed Before and after her heart surgery she underwent normal development and activities. transfemoral catheter examination of heart valve func- Figure 2 shows MR angiography demonstrating a tion, which was normal. slight dilatation of the saphenous vein graft in left At no point were ischaemic symptoms or signs iliaco-femoral position compared to the original vesrecognised clinically in either leg. sels.