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Quantification of Pulmonary Stenosis : Quantification by ECHO
By Valve area
Mild > 1.5 cm2
Moderate 0.5-1.5 cm2
Severe <0.c5m2
By Peak pressure gradient
Trivial < 25 mms of Hg
Mild 25-50mms of Hg
Moderate 50 -80mrns of Hg
Severe > 80 mms of Hg
Neonates presenting with critical pulmonary stenosis and intact ventricular. septum usually present within two weeks and need urgent treatment.
Pulmonary stenosis may be present in infants, children or adults. Mild stenosis can be left alone and followed up. Moderate stenosis is treated at the time of surgery of associated lesions. If the stenosis is severe and isolated, it has to be treated by balloon valvotomy.
At 1 AM, an impermeable membrane separates a 1 liter solution of 2M KCl in the left compartment from a 1 liter solution containing both 1M NaCl and 1M KCl in the right compartment.
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