Pulmonic Valve: Pulmonic Stenosis

Pulmonic stenosis is a right sided valvular lesion that is usually asymptomatic. It is often a congenital lesion and is associated with Noonan Syndrome, Leopard Syndrome, and Tetralogy of Fallot. On auscultation, the patient may present with a systolic murmur loudest at the left sternal border. The murmur is louder upon standing and with inspiration. An ejection click may be present. Patients rarely require treatment unless severe. If severe, treatment options include balloon valvotomy and cardiac catheterization with dilation.