Narrowing of the opened pulmonary valve, which impairs the right ventricle during ejection of the pump fraction. Can lead to a thickening of the myocardium of the right heart (right heart hypertrophy) due to the increased pumping effort.
Schwerwiegende Stenosen können auch zur Rechtsherzinsuffizienz führen.
https://de.wikipedia.org/wiki/Pulmonalstenose (Wikipedia CC-by-sa-3.0)