Pulmonary stenosis

external

• Causes

  • Carcinoid tumour

• Effects

  • Ejection systolic murmur
  • Wide splitting of second heart sound
  • Right ventricular hypertrophy
  • Right ventricular failure
  • Right bundle branch block
  • Rib notching
  • Oligaemic lung fields

• Parents

  • Valvular heart disease
  • Systolic murmur radiating to back

• Children

  • Congenital pulmonary stenosis

• Treatments

  • Balloon dilatation
  • Valvotomy
  • Prosthetic cardiac valve