Description
A 43-year-old man with a diagnosis of severe pulmonary stenosis was referred to us for pulmonary valve balloon dilatation. We reviewed the case and found that the patient was complaining of progressively increasing dyspnoea over the past one year. He did not complain of chest pain, syncope, limb swelling or cyanosis. History was unremarkable except for a motorbike accident which he suffered 10 years back and sustained injuries over his face, chest and limbs. He made full functional recovery within 2 months after the accident and remained free from any symptoms for the next 9 years.
We reviewed his echocardiogram and found that he had dilated right atrium and right ventricle. Left-sided chambers and valves were normal. The pulmonary valve was normal. Instead, he had supravalvular pulmonary stenosis caused by compression of the pulmonary artery by an extrinsic mass (figures 1 and 2). CT...
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