Right ventricular outflow tract obstruction pulmonary subvalvular stenosis

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Right ventricular outflow tract obstruction Microchapters

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Overview

Anatomy of Pulmonary Valve

Classification

Pulmonary valve stenosis
Pulmonary subvalvular stenosis
Pulmonary supravalvular stenosis
Pulmonary atresia

Pathophysiology

Causes

Differentiating Right ventricular outflow tract obstruction from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Electrocardiogram

Chest X Ray

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Cardiac Catheterization

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Treatment

Indications For Surgery

Surgery

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Cost-Effectiveness of Therapy

Future or Investigational Therapies

Special Scenarios

Pulmonary artery conduits/Prosthetic Valves

Double-Chambered Right Ventricle

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Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Associate Editor-in-Chief: Keri Shafer, M.D. [3]

Anatomy

  • There is hypertrophy of the infundibular muscle causing obstruction.
  • The isolated form is rare, more commonly develops in response to an underlying VSD.

Clinical Features

  • Similar to valvar pulmonic stenosis. </ref>
  • Aortic stenosis was probably first described by Lazare Riviere (1589-1655), a French physician in 1663. <ref name="pmid8480616">{{cite journal| author=Vaslef SN, Roberts WC| title=Early descriptions of aortic valve stenosis. | journal=Am Heart J | year= 1993 | volume= 125 | issue= 5 Pt 1 | pages= 1465-74 | pmid=8480616 | doi=10.1016/0002-8703(93)91036-e | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?
  • No ejection click in contrast to valvar pulmonic stenosis.
  • No poststenotic dilation of the pulmonary artery in contrast to valvar pulmonic stenosis.

References

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