The U.S. Supreme Court will not review a ruling upholding a $28.1 million jury verdict, the first in New England, against R.J. Reynolds Tobacco Co. for a Connecticut smoker who now breathes through a hole in her throat.

The Monday decision means the case returns to the U.S. district court in Bridgeport, where additional punitive damages may be added. The U.S. Court of Appeals for the Second Circuit upheld the jury’s award in October.