THE CLINICAL PICTURE OF PULMONARY STENOSIS (WITHOUT VENTRICULAR SEPTAL DEFECT)

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Abstract
Twenty cases of pulmonary stenosis were proved by cardiac catheterization. The status of P2 is an unreliable finding. Elevation in right ventricular pressure to the intensity of systolic murmur, thrill, or clinical symptoms could not be correlated. There is no correlation between diastolic pulmonary pressure and the intensity of P2. An ecg. pattern of right ventricular hypertrophy is usually present if the pressure in the right ventricle is greater than 60 mm. Hg although exceptions are frequent. Disproportion of degree in systolic pulsation between the main pulmonary artery and its branches, poststenotic dilatation of the main pulmonary artery and its branches, and right ventricular enlargement are very useful in the diagnosis by fluoroscopy.