Late presentation of pulmonary valve stenosis confirmed by cardiovascular magnetic resonance.
We describe the case of a 70-year-old man who presented with increasing exertional dyspnea. He was found to have an ejection systolic murmur and evidence of right ventricular outflow tract obstruction, with a peak velocity of 4.5 m/s recorded by transthoracic Doppler echocardiography. Cardiovascular magnetic resonance showed right ventricular hypertrophy, pulmonary valve stenosis, peak recorded velocity 4.2 m/s, with thickened pulmonary valve leaflets of reduced mobility, and poststenotic dilatation of the main pulmonary artery. The case illustrates that severe pulmonary valve stenosis can present late in life and that cardiovascular magnetic resonance can be useful in clarifying nature and level of right ventricular outflow tract obstruction in an adult.
Royal Brompton Hospital-CMR Unit, London, UK.
Didier
D
Locca
Pedro T
PT
Trindade
Michael
M
Mullen
Philip J
PJ
Kilner
D000368:Aged; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011666:Pulmonary Valve Stenosis / Q000175:diagnosis*; D012720:Severity of Illness Index