Bashour T, Rifai A S, Jokhadar M, Kabbani S, Hanna E S, Cheng T O
Angiology. 1984 Apr;35(4):222-30. doi: 10.1177/000331978403500404.
Sixty-six patients with pulmonic valvular stenosis were evaluated by cardiac catheterization and cine-angiography over the past four years in a recently established cardiovascular center in Syria. Patients were divided according to severity of pressure gradient across the pulmonic valve into three groups: Group I (25 patients) had gradients below 50 mm. Hg, Group II (14 patients) had gradients between 50 and 100 mm. Hg, and Group III (27 patients) had gradients exceeding 100 mm. Hg. Clinical symptoms and signs including dyspnea on exertion, palpitation, cyanosis, and characteristics of the murmur and the pulmonic second sound were correlated with severity and grouping along with electrocardiographic and radiographic findings. Valvulotomy was carried out in 23 patients (35%). Short term clinical results were excellent in 19 patients, but long term course of the non-operated and post-operative cases is yet to be established.
在叙利亚一个新成立的心血管中心，过去四年里对66例肺动脉瓣狭窄患者进行了心导管检查和心血管造影评估。根据肺动脉瓣跨瓣压力阶差的严重程度，患者被分为三组：第一组（25例）压力阶差低于50毫米汞柱，第二组（14例）压力阶差在50至100毫米汞柱之间，第三组（27例）压力阶差超过100毫米汞柱。临床症状和体征，包括劳力性呼吸困难、心悸、发绀，以及杂音和肺动脉第二心音的特征，与严重程度和分组相关，同时还有心电图和影像学检查结果。23例患者（35%）接受了瓣膜切开术。19例患者短期临床效果极佳，但未手术和术后病例的长期病程仍有待确定。
