Severe Valvular Pulmonary Stenosis and Bicuspid Pulmonary Valve
A 36-year-old woman presented with lower extremity edema and dyspnea on exertion (functional class II) of 2-year duration. She had given birth to five children and had mild symptoms during the pregnancies. Physical examination revealed a systolic ejection murmur in the pulmonic area. Electrocardiography showed right-axis deviation and right ventricular hypertrophy.
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