Pulmonic stenosis
7 month old FE CKCS, no clinical symptoms, grade 4/6 left basilar murmur on exam Pulmonic stenosis (velocity approx 4.5m/s, gradient 80mmHg) Possible mild right atrial enlargement? Do you think there is remodelling of right ventricle? How would you classify this lesion, purely valvuar and not stenotic? Would you recommend balloon valvuloplasty or just atenolol?