title: Full Development of Consequences of Congenital Pulmonic Stenosis in Eighty-Four Years.
abstract: Described herein is an 84-year-old woman, the oldest reported, with severe pulmonic stenosis who underwent a highly successful pulmonic valvotomy at age 77 and highly unsuccessfully attempted percutaneous pulmonic valve implantation at age 84. During the 84 years she developed nearly all clinical and morphologic consequences of pulmonic stenosis, including heavy calcification of the pulmonic valve, heavy calcification of the tricuspid valve annulus, severe right ventricular wall thickening without ventricular cavity dilation, aneurysm of the pulmonary truck, multiple focal ventricular wall scars without narrowing of the epicardial coronary arteries, wall thickening and luminal narrowing of the intramural coronary arteries, and extremely low 12-lead QRS electrocardiographic voltage.
authors.affiliation: Baylor Heart and Vascular Institute, the Departments of Internal Medicine (Division of Cardiology) and Pathology, Baylor University Medical Center, Dallas, Texas. Electronic address: william.roberts1@bswhealth.org.
authors.forename: William C
authors.initials: WC
authors.lastname: Roberts
authors.affiliation: Baylor Heart and Vascular Institute, the Departments of Internal Medicine (Division of Cardiology) and Pathology, Baylor University Medical Center, Dallas, Texas.
authors.forename: Paul A
authors.initials: PA
authors.lastname: Grayburn
authors.affiliation: Baylor Heart and Vascular Institute, the Departments of Internal Medicine (Division of Cardiology) and Pathology, Baylor University Medical Center, Dallas, Texas.
authors.forename: Joseph M
authors.initials: JM
authors.lastname: Guileyardo
authors.affiliation: Baylor Heart and Vascular Institute, the Departments of Internal Medicine (Division of Cardiology) and Pathology, Baylor University Medical Center, Dallas, Texas.
authors.forename: Robert C
authors.initials: RC
authors.lastname: Stoler
mesh_terms: D000369:Aged, 80 and over; D000783:Aneurysm / Q000209:etiology; D063126:Balloon Valvuloplasty; D023921:Coronary Stenosis / Q000209:etiology; D004562:Electrocardiography; D017809:Fatal Outcome; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D011664:Pulmonary Valve / Q000601:surgery; D011666:Pulmonary Valve Stenosis / Q000150:complications* / Q000151:congenital* / Q000628:therapy; D014261:Tricuspid Valve / Q000000981:diagnostic imaging / Q000473:pathology; D061205:Vascular Calcification / Q000000981:diagnostic imaging / Q000473:pathology; D018497:Ventricular Dysfunction, Right / Q000209:etiology