Pulmonary Stenosis

Pulmonary Stenosis can occur in the carcinoid syndrome but is usually congenital when it may be isolated or associated with other abnormalities. The principal finding on examination is an ejection systolic murmur, loudest to the left of the upper sternum and radiating towards the left shoulder. Severe Pulmonary Stenosis is characterised by a loud harsh murmur, an inaudible pulmonary closure sound etc. Mild Pulmonary Stenosis is relatively common and does not require treatment and it is a low risk lesion for infective endocarditis. Severe Pulmonary stenosis is treated percutaneous pulmonary balloon valvuloplasty. Long term results of these diseases are very good.