DYNAMIC PULMONARY REGURGITATION ASSOCIATED WITH A BICUSPID VALVE
Authors: J DICKENS, G T RABER, H GOLDBERG
Journal: Annals of Internal Medicine (1958)

Case Reports1 April 1958DYNAMIC PULMONARY REGURGITATION ASSOCIATED WITH A BICUSPID VALVEJANET DICKENS, M.D., GEORGE T. RABER, B.S., HARRY GOLDBERG, M.D., F.A.C.P.JANET DICKENS, M.D., GEORGE T. RABER, B.S., HARRY GOLDBERG, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-48-4-851 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptDynamically significant pulmonary regurgitation of organic origin has been infrequently observed. Renewed interest in the antemortem diagnosis has been shown by several recent reports in the literature. The diagnosis was suggested from the clinical findings and/or right heart catheterization data in five such cases.1-5 In only one of these patients,3 however, were autopsy data available demonstrating an associated abnormal valve. In two cases1, 2 the clinical diagnoses were gonococcal endocarditis and tetralogy of Fallot; in the two remaining cases the underlying etiology of the pulmonary insufficiency remained unknown.The case to be reported is of interest since complete data were...Bibliography1. OlesenFabricius KHJ: Pulmonic valvular regurgitation during twenty-seven years after gonorrheal endocarditis, Am. Heart J. 52: 791, 1956. CrossrefMedlineGoogle Scholar2. KohoutKatz FWLN: Pulmonic valvular regurgitation, Am. Heart J. 49: 637, 1955. CrossrefMedlineGoogle Scholar3. FordHellersteinWoodKelly ABHKCHB: Isolated congenital bicuspid pulmonary valve, Am. J. Med. 20: 474, 1956. CrossrefMedlineGoogle Scholar4. MortonStern RFTN: Isolated pulmonic valvular regurgitation, Circulation 14: 1069, 1956. CrossrefMedlineGoogle Scholar5. KjellburgMannheimerRudheJonsson SREUB: Diagnosis of congenital heart disease, 1955, Year Book Publishers, Inc., Chicago. Google Scholar6. Koletsky S: Congenital bicuspid pulmonary valves, Arch. Path. 31: 338, 1941. Google Scholar7. Ingham DW: Congenital malformations of the pulmonic and aortic valves, Ann. Int. Med. 12: 609, 1938-39. LinkGoogle Scholar8. SchwartzShelling SPD: Acquired rheumatic pulmonic stenosis and insufficiency, Am. Heart J. 6: 568, 1930. CrossrefGoogle Scholar9. Grawitz E: Zwei seltene Falle von Incontinenz des Ostium pulmonale, bedingt durch Fehlen eines Klappensegels, Virchows Arch. f. path. Anat. 110: 426, 1887. CrossrefGoogle Scholar10. Stintzing R: Ueber ein seltene Anomalie der Pulmonalklappen, Deutsches Arch. f. klin. Med. 44: 149, 1888-89. Google Scholar11. Paget J: On obstructions of the branches of the pulmonary artery, Med. Chir. Tr., London 27: 162, 1844. CrossrefMedlineGoogle Scholar12. Kissin M: Pulmonary insufficiency with a supernumerary cusp in the pulmonic valve, Am. Heart J. 12: 206, 1936. CrossrefGoogle Scholar13. BargerRoeRichardson ACBBGS: Relationships of valvular lesions and of exercise to auricular pressure, work tolerance, and to development of chronic congestive failure in dogs, Am. J. Physiol. 169: 384, 1952. CrossrefMedlineGoogle Scholar14. BlountMcCordMuellerSwan GSMCHH: Isolated valvular pulmonic stenosis—clinical and physiological response to open valvuloplasty, Circulation 10: 161, 1954. CrossrefMedlineGoogle Scholar15. FowlerMannixNoble NOEPW: Some effects of partial pulmonary valvectomy, Circulation Res. 4: 8, 1956. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Philadelphia, Pennsylvania*Received for publication March 22, 1957.From the Brith Sholom Cardiopulmonary Laboratory and the Department of Medicine, Hahnemann Medical College and Hospital, and the Bailey Thoracic Clinic, Philadelphia, Pennsylvania.Requests for reprints should be addressed to Brith Sholom Laboratory, 230 North Broad Street, Philadelphia 7, Pennsylvania. 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