ABC | Volume 111, Nº3, September 2018

Clinicoradiological Correlation Arq Bras Cardiol. 2018; 111(3):427-429 atik et al Severe pulmonary valve stenosis in adulthood Figure 1 – PA chest X-ray emphasizes normal cardiac area with prominent ventricular arch and slightly increased hilar pulmonary vascular network. Due to the marked increase of the pulmonary trunk, the middle arch draws attention due to the long concavity. The electrocardiogram highlights the signs of complete right bundle branch block. Figure 2 – Cardiac angiography showing marked right ventricular hypertrophy in systole in A , and in diastole in B , with good ventricular contractility. Thinner contrast jet (arrow) passing through the stenotic pulmonary valve in B , before double-balloon valvuloplasty, in C , and after the procedure in D , with a thicker jet (arrow). 428