Acquired Pulmonic Stenosis

Acquired Pulmonic Stenosis

A 15-vear-old girl was referred to the University of Michigan Medical Center for evaluation of a svstolic imiurmiiur that had been discovered by her local physician during a routine physical exanmination. MIultiple previous examinationls hadl disclosed no evidence of heart disease. There was no history suggesting rheumiiatic fever, and the patient had never received radiation therapy. A systemi...

Pulmonic stenosis.

Severe Congenital Pulmonic Stenosis

IN THE literature, indicationis given for surgical correction of congenital pulmonic stenosis have emphasized chiefly the degree of right ventricular hypertension or the gradient across the obstrueted orifice.1-4 We wish to present 2 cases of severe stenosis, as judged by the size of orifice visualized at operationi, in which right ventricular systolic pressure was less than 90 mm. of inercury....

Calcific pulmonic stenosis.

C ALCIFIC STENOSIS of the aortic valve is a well-recognized and relatively common clinical and pathological entity. In contrast, calcific pulmonic stenosis is rarely encountered either at operation or necropsy. We have observed small deposits of calcium in one or more pulmonic valve cusps in patients who lived into adulthood with left-toright intracardiac shunts, and in older persons with sever...

Vascular Changes in Pulmonic Stenosis

were confirmed in both isolated pulmonary stenosis and tetralogy of Fallot but were more marked in pulmonic stenosis. Intimal fibrosis in the pulmonary vessels on the other hand gave the impression of being greater in the cases of tetralogy of Fallot than in pulmonic stenosis even within the same age group, but this difference is not statistically significant. Intimal fibrosis was even more pro...