Pulmonic Stenosis
- Pulmonic stenosis is virtually always congenital. However, it may occur as a result of acquired conditions such as rheumatic disease and carcinoid syndrome.
- The systolic murmur of pulmonic stenosis is best heard over the left upper sternal border, is crescendo-decrescendo in shape, and radiates to the neck, left shoulder, and back.
- With increasing severity, the murmur peaks later and lasts longer.
Patient 1:
This is a young woman with Alagille syndrome complicated by pulmonic stenosis. Note the increase in intensity of the murmur with inspiration.
Pulmonic Stenosis
Annotated
Patient 2:
This patient has pulmonic stenosis and pulmonic regurgitation.
Pulmonic Stenosis
Annotated