Pulmonic Stenosis

Presentation A 2.5 year old male Pomeranian was presented for evaluation of exercise intolerance. The patient was previously diagnosed with severe valvular pulmonic stenosis ~ 2 years prior. Currently patient was experience episode of exercise intolerance and occasional episode of collapse (suspected syncope) Echocardiogram There is fusion of the pulmonic valve leaflets noted with little to no decrease in annular diameter. The aortic to pulmonic annular ration was 1.05 which is consistent with Type A pulmonic stenosis. The Doppler derived pressure gradient was ~ 120 mm Hg. Marked eccentric and concentric hypertrophy of the right ventricle was noted consistent with …Read More