Fig 6
From: Adults with genetic syndromes and cardiovascular abnormalities: clinical history and management

A 45-year-old man with classic Noonan syndrome facial appearance who had surgical repair of pulmonary valvular stenosis at age 5 years (courtesy of Mary Ella Pierpont, M.D., Ph.D. and the patient). As an adult, his facial shape is that of an inverted triangle with a high prominent forehead, small pointed chin, and downslanted palpebral fissures.