Native valves · Pathway
BSA — m²
Pulmonic stenosis: integrated assessment
Version 2026.10.1
Level of obstruction first (valvular, subvalvular/infundibular, supravalvular, serial), then Doppler grading by peak velocity and gradient, then the RV response and the RVSP/PASP check.
Read more:EAE/ASE 2009 · Valve stenosisASE 2023 · Rheumatic heart diseaseEACVI/ASE 2017 · Aortic stenosis (focused update)
Quick reference:↑ Tricuspid and pulmonic valves
Applicability
- Native pulmonic valve and RVOT; Table 11 grading (ACC/AHA 2006 definitions) applies to valvular obstruction.
- CW aligned with flow using colour guidance; highest velocity from multiple views.
- 2009 §V.A and B.1.1Where is the obstruction (valvular, subvalvular/infundibular, supravalvular, or stenoses in series), by 2D and pulsed Doppler mapping?Defining where the stenosis is maximal is the first step; grading applies to valvular obstruction.