To the Editor: In the Case Records of the Massachusetts General Hospital for April 19 (Vol. 288, page 837), Dr. Leatham, in discussing the genesis of chest pain in patients with isolated pulmonic stenosis, states: “Can right ventricular disease produce such pain? Right ventricular angina is usually associated with very severe pulmonary hypertension. To my knowledge, it has not been seen in pulmonic stenosis but is theoretically possible.”” A paper dealing with this very subject was presented in 1957 by Lasser and Genkins, “Chest Pain in Patients with Isolated Pulmonic Stenosis” (Circulation 15:258, 1957). Right ventricular ischemia was postulated as ….