Mild pulmonic stenosis: a clinical and hemodynamic study of eleven cases.

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Article1 May 1960MILD PULMONIC STENOSIS: A CLINICAL AND HEMODYNAMIC STUDY OF ELEVEN CASESSTEPHEN M. AYRES, M.D., DANIEL S. LUKAS, M.D.STEPHEN M. AYRES, M.D.Search for more papers by this author, DANIEL S. LUKAS, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-52-5-1076 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptWith recent widespread use of cardiac catheterization as a diagnostic tool, it has become increasingly apparent that isolated pulmonic stenosis, uncomplicated by defects of the septum, is a relatively common congenital anomaly. Of 750 patients with congenital heart disease in whom a definite diagnosis was established either clinically or by catheterization, Wood1 found that 13% had this anomaly. The older autopsy data are at variance with this experience. Abbott2 reported only nine examples of the condition in her series of 1,000 autopsied cases. Taussig,3 writing in 1947, described it as an extremely rare entity.In 1949 Greene and co-workers4could...Bibliography1. WoodMagidsonWilson POPA: Ventricular septal defect with a note on acyanotic Fallot's tetralogy, Brit. Heart J. 16: 387, 1954. CrossrefMedlineGoogle Scholar2. Abbott ME: Atlas of congenital cardiac disease, 1936, American Heart Association, New York. Google Scholar3. Taussig HB: Congenital malformations of the heart, 1947, The Commonwealth Fund, New York, p. 175. Google Scholar4. GreeneBaldwinBaldwinHimmelsteinRobCournand DGEdJSACEA: Pure congenital pulmonic stenosis and idiopathic dilatation of the pulmonary artery, Am. J. Med. 6: 24, 1949. CrossrefMedlineGoogle Scholar5. JoosYuLovejoyNyeSimpson HAPNFWREJH: Clinical and hemodynamic studies of congenital pulmonic stenosis with intact ventricular septum, Am. J. Med. 17: 6, 1954. CrossrefMedlineGoogle Scholar6. SobinCarsonJohnsonBaker SSMJJLCR: Isolated pulmonary stenosis, Am. Heart J. 48: 416, 1954. CrossrefMedlineGoogle Scholar7. GotzscheEskildsenHansen HPAT: Isolated pulmonary stenosis, Acta med. scandinav. 139: 431, 1951. CrossrefMedlineGoogle Scholar8. Campbell M: Simple pulmonary stenosis. Pulmonary valvular stenosis with a closed ventricular septum, Brit. Heart J. 16: 273, 1954. CrossrefMedlineGoogle Scholar9. SilvermanNadasWittenborgGoodaleGross BKASMHWTRE: Pulmonary stenosis with intact ventricular septum, Am. J. Med. 20: 53, 1956. CrossrefMedlineGoogle Scholar10. Torner-SolerMorato-PortellBalaguer-Vintro MJMI: Pulmonary stenosis with closed ventricular septum, Am. Heart J. 53: 213, 1957. CrossrefMedlineGoogle Scholar11. DowLevineElkinHaynesHellomsWhittenbergerFerrisGoodaleHarveyEppingerDexter JWHDMFWHKJWBGWTWDECL: Studies of congenital heart disease. IV. Uncomplicated pulmonic stenosis, Circulation 1: 267, 1950. CrossrefMedlineGoogle Scholar12. BlountKomesuMcCord SGSM: Asymptomatic isolated pulmonary stenosis, New England J. Med. 248: 5, 1953. CrossrefMedlineGoogle Scholar13. LukasDotter DSCT: Modifications of the pulmonary circulation in mitral stenosis, Am. J. Med. 12: 639, 1952. CrossrefMedlineGoogle Scholar14. GorlinGorlin RSG: Hydraulic formula for calculation of the area of the stenotic mitral valve, other cardiac valves, and central circulatory shunts. I. Am. Heart J. 41: 1, 1951. CrossrefMedlineGoogle Scholar15. LeathamVogelpoel AL: The early systolic sound in dilatation of the pulmonary artery, Brit. Heart J. 16: 21, 1954. CrossrefMedlineGoogle Scholar16. AlimurungLesterNadasMassell MMGJASBF: The unipolar precordial and extremity electrocardiogram in normal infants and children, Circulation 4: 420, 1951. CrossrefMedlineGoogle Scholar17. SokolowLyon MP: The ventricular complex in right ventricular hypertrophy as obtained by unipolar precordial and limb leads, Am. Heart J. 38: 519, 1951. Google Scholar18. AbrahamsWood DGP: Pulmonary stenosis with normal aortic root, Brit. Heart J. 13: 519, 1951. CrossrefMedlineGoogle Scholar19. ReinholdNadas JDAS: The role of auscultation in the diagnosis of congenital heart disease, Am. Heart J. 47: 405, 1954. CrossrefMedlineGoogle Scholar20. LeathamWeitzman AD: Auscultatory and phonocardiographic signs of pulmonary stenosis, Brit. Heart J. 19: 303, 1957. CrossrefMedlineGoogle Scholar21. JohnsonFerrerWestCournand JBMIJRA: The relation between electrocardiographic evidence of right ventricular hypertrophy and pulmonary arterial pressure in patients with chronic pulmonary disease, Circulation 1: 536, 1950. CrossrefGoogle Scholar22. BlountMunyanHoffman SGEAMS: Hypertrophy of the right ventricular outflow tract, Am. J. Med. 22: 784, 1957. CrossrefMedlineGoogle Scholar23. Brock R: Congenital pulmonary stenosis, Am. J. Med. 12: 706, 1952. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New York, N. Y.*Received for publication January 26, 1960.From the Department of Medicine and Cardio-Pulmonary Laboratory, New York Hospital-Cornell Medical Center, New York, N. Y.†Supported by grants from the National Heart Institute (H-3918), The American Heart Association and New York Heart Association.Requests for reprints should be addressed to Daniel S. Lukas, M.D., 525 East Sixty-eighth Street, New York 21, N. Y. 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