Key result
Cardiovascular magnetic resonance confirmed severe pulmonary valve stenosis with a peak velocity of 4.2 m/s in a 70-year-old man, illustrating that this condition can present late in life.
Why the study?
Severe pulmonary valve stenosis can present late in life, and the role of cardiovascular magnetic resonance in clarifying right ventricular outflow tract obstruction in adults is important to illustrate.
Case Report (n=1)
Severe pulmonary valve stenosis can present late in life, and cardiovascular magnetic resonance is a useful modality for clarifying the nature and level of right ventricular outflow tract obstruction in adults.
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.
No takes yet. Share an insight, caveat, or question.
Locca et al. (2008) conducted a case report in Pulmonary Valve Stenosis (n=1). Cardiovascular Magnetic Resonance was evaluated. Cardiovascular magnetic resonance confirmed severe pulmonary valve stenosis with a peak velocity of 4.2 m/s in a 70-year-old man, illustrating that this condition can present late in life.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: