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Physiologic Pulmonary Artery Stenosis Murmur

MedGen UID:
1709764
•Concept ID:
C5238585
•
Finding

Definition

An innocent murmur with a medium or high pitched, blowing character heard at the left middle sternal border that can also be heard at the same volume across the precordium and back that does not disappear with maneuvers but is only heard in infants less than six months of age. (ACC-AHA) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPhysiologic Pulmonary Artery Stenosis Murmur

Recent clinical studies

Etiology

Echocardiography and management of sick neonates in the intensive care unit.
Kadivar M, Kiani A, Kocharian A, Shabanian R, Nasehi L, Ghajarzadeh M
Congenit Heart Dis 2008 Sep-Oct;3(5):325-9. doi: 10.1111/j.1747-0803.2008.00209.x. PMID: 18837810
The role of ductal constriction in transient stenosis of the left pulmonary artery.
Guntheroth WG
Pediatr Cardiol 1998 May-Jun;19(3):240-2. doi: 10.1007/s002469900293. PMID: 9568221
Doppler assessment of physiological stenosis at the bifurcation of the main pulmonary artery: a cause of functional murmur in neonates.
So BH, Watanabe T, Shimizu M, Yanagisawa M
Biol Neonate 1996;69(4):243-8. doi: 10.1159/000244317. PMID: 8724652
Physiological pulmonary branch stenosis in newborns: 2D-echocardiographic and Doppler characteristics and follow up.
Chatelain P, Oberhänsli I, Friedli B
Eur J Pediatr 1993 Jul;152(7):559-63. doi: 10.1007/BF01954080. PMID: 8354313
Physiologic peripheral pulmonic stenosis in infancy.
Rodriguez RJ, Riggs TW
Am J Cardiol 1990 Dec 15;66(20):1478-81. doi: 10.1016/0002-9149(90)90538-c. PMID: 2251995

Diagnosis

Echocardiography and management of sick neonates in the intensive care unit.
Kadivar M, Kiani A, Kocharian A, Shabanian R, Nasehi L, Ghajarzadeh M
Congenit Heart Dis 2008 Sep-Oct;3(5):325-9. doi: 10.1111/j.1747-0803.2008.00209.x. PMID: 18837810
Physiologic peripheral pulmonic stenosis in infancy.
Rodriguez RJ, Riggs TW
Am J Cardiol 1990 Dec 15;66(20):1478-81. doi: 10.1016/0002-9149(90)90538-c. PMID: 2251995

Prognosis

Echocardiography and management of sick neonates in the intensive care unit.
Kadivar M, Kiani A, Kocharian A, Shabanian R, Nasehi L, Ghajarzadeh M
Congenit Heart Dis 2008 Sep-Oct;3(5):325-9. doi: 10.1111/j.1747-0803.2008.00209.x. PMID: 18837810
Physiological pulmonary branch stenosis in newborns: 2D-echocardiographic and Doppler characteristics and follow up.
Chatelain P, Oberhänsli I, Friedli B
Eur J Pediatr 1993 Jul;152(7):559-63. doi: 10.1007/BF01954080. PMID: 8354313

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