Pulmonic Valvular Stenosis: Clinical-Hemodynamic Correlation and Surgical Results

Bashour, Tali; Rifai, Abdul-Sater; Jokhadar, Moufid; Kabbani, Sami; Hanna, Elias S.; Cheng, Tsung O.
April 1984
Angiology;Apr1984, Vol. 35 Issue 4, p222
Academic Journal
Sixty-six patients with pulmonic valvular stenosis were evaluated by cardiac catheterization and cine-angiography over the past four years in a recently established cardiovascular center in Syria. Patients were divided according to severity of pressure gradient across the pulmonic valve into three groups: Group I(25 patients) had gradients below 50 mm. Hg, Group II (14 patients) had gradients between 50 and 100 mm. Hg, and Group III (27 patients) had gradients exceeding 100 mm. Hg. Clinical symptoms and signs including dyspnea on exertion, palpitation, cyanosis, and characteristics of the murmur and the pulmonic second sound were correlated with severity and grouping along with electrocardiographic and radiographic findings. Valvulotomy was carried out in 23 patients (35%). Short term clinical results were excellent in 19 patients, but long term course of the non-operated and post-operative cases is yet to be established.


Related Articles

  • Subaortic stenosis caused by two discrete membranes. Yilmaz, M.B.; Akarca, E.; Guray, U.; G├╝ray, U // Heart;Nov2002, Vol. 88 Issue 5, p459 

    Presents a case of subaortic stenosis caused by discrete membranes. Findings of the electrocardiography diagnosis; Confirmation of discrete intracavity pressure gradients by cardiac catheterization.

  • Cardiac Catheterization and Operative Outcomes from a Multicenter Consortium for Children with Williams Syndrome. Pham, Phat P.; Moller, James H.; Hills, Christine,1; Larson, Virgil; Pyles, Lee // Pediatric Cardiology;Jan2009, Vol. 30 Issue 1, p9 

    Williams syndrome is a multifaceted disorder that includes a spectrum of cardiovascular anomalies. Due to its rare occurrence, outcome data for operations and cardiac catheterization are limited. We reviewed data from 242 individuals from the Pediatric Cardiac Care Consortium (PCCC) with...

  • Discovery of Lp(a) as risk factor for aortic stenosis generates more questions than answers. Dellapena, Deb; Kalvaitis, Katie // Cardiology Today;May2013, Vol. 16 Issue 5, p1 

    The article discusses the CHARGE Extracoronary Calcium Working Group study which established a link between lipoprotein (a) (LPA) levels and aortic stenosis, available therapies to lower LPA levels and the next phase of clinical trial on LPA level's effect on aortic stenosis progression or...

  • Value of the ECG in Asymptomatic Aortic Stenosis. Crawford, Michael H. // Internal Medicine Alert;4/29/2012, Vol. 34 Issue 8, p60 

    This article originally appeared in the March issue of Clinical Cardiology Alert. At that time it was peer reviewed by Ethan Weiss, MD, Associate Professor of Medicine, Division of Cardiology, University of California, San Francisco, CA. Dr. Weiss is an advisory board member for Bionovo. Dr....

  • Balloon Valvuloplastry in Adult Aortic Stenosis: Determinants of Clinical Outcome. Sherman, Warren; Hershman, Ronnie; Lazzam, Charles; Cohen, Marc; Ambrose, John; Gorlin, Richard // Annals of Internal Medicine;3/15/89, Vol. 110 Issue 6, p421 

    Determines the clinical variables affecting outcomes after balloon valvuloplasty in patients with aortic stenosis. Basis for the treatment of patients with symptomatic aortic stenosis; Assessment of left heart valvular regurgitation of the patients; Administration of cardiac catheterization and...

  • Muscular subaortic Stenosis. Borromeo, Lorenzo; Wilson, William S. // Annals of Internal Medicine;Feb71, Vol. 74 Issue 2, p242 

    Describes the findings observed in a patient with muscular subaortic stenosis who developed temporary atrioventricular dissociation during diagnostic cardiac catheterization. Medical profile of the patient; Result of the patient's physical examination; Nature of the obstruction in the left...

  • Transcatheter Aortic Valve Implantation vs Surgical AVR for Severe Aortic Steno. Boyle, Andrew J. // Clinical Cardiology Alert;Aug2011, Vol. 30 Issue 8, p57 

    The author discusses a study by C. Smith and colleagues, which compares percutaneous transcatheter aortic valve implantation (TAVI) and surgical aortic valve replacement (AVR) in high-risk patients with severe aortic steno (AS). Findings suggest similar rates of survival at 1 year among...

  • Multi-scale modeling of the human cardiovascular system with applications to aortic valvular and arterial stenoses. Liang, Fuyou; Takagi, Shu; Himeno, Ryutaro; Hao Liu // Medical & Biological Engineering & Computing;Jul2009, Vol. 47 Issue 7, p743 

    A computational model of the entire cardiovascular system is established based on multi-scale modeling, where the arterial tree is described by a one-dimensional model coupled with a lumped parameter description of the remainder. The resultant multi-scale model forms a closed loop, thus placing...

  • Looking Deep into Heart Valve Replacement. Casinelli, Christina // Medical Design Technology;Jan/Feb2014, Vol. 18 Issue 1, p36 

    The article provides information on the transcatheter aortic valve implantation (TAVI)guide technology founded by Belgian-based FEops, which aims at improving the design, planning, safety, and efficacy of TAVI products and procedures.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics