title: [Clinical diagnosis and prognosis of the course of congenital heart defects with pulmonary stenosis].
abstract: An analysis of 433 observations is presented (164 cases of isolated pulmonary stenosis, 132 cases of its combination with atrial septal defect, and 137--with ventricular septal defect), the patients being 1 year 1 month to 36 years old, and the form of their heart disease being verified during surgery on a "dry" heart. The mentioned diseases were classified into 3 groups according to the tactical importance of the pulmonary stenosis. Haemodynamic studies in patients with pulmonary stenosis and an intact ventricular septum have demonstrated that with age right-ventricular hypertension progresses the faster the greater the pulmonary artery valve is stenosed. A combination of a valvular stenosis with a large ventricular communication is accompanied by a levelling of the pressure in both ventricles, its absolute figures being somewhat higher in patients over 16 years of age.
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D006328:Cardiac Catheterization; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006330:Heart Defects, Congenital / Q000175:diagnosis*; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis; D006439:Hemodynamics; D006801:Humans; D007223:Infant; D010701:Phonocardiography; D011379:Prognosis; D011666:Pulmonary Valve Stenosis / Q000175:diagnosis*; D013771:Tetralogy of Fallot / Q000175:diagnosis; D014286:Trilogy of Fallot / Q000175:diagnosis
vernacular_title: K klinicheskoĭ diagnostike i prognozirovaniiu techeniia vrozhdennykh porokov serdtsa s legochnym stenozom