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Doctor insights on: Absent Pulmonary Valve

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Dr. Dariush Saghafi
12 doctors shared insights

Absent Pulmonary Valve (Overview)

Absent pulmonary valve is a congenital defect (occurring at birth). The pulmonary valve of the heart is absent or poorly formed. It can occur as a single defect or as the part of a complex congenital heart condition such as Tetralogy of Fallot.


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Can 5 weeks of pulmonary hypertension (as well as a few other diagnoses) lead to moderate anoxic brain injury? A patient in his early 50's receives diagnosis of mssa- causing pulmonary hypertension, chf, aortic valve regurgitation, a stretched mitral valv

Can 5 weeks of pulmonary hypertension (as well as a few other diagnoses) lead to moderate anoxic brain injury? A patient in his early 50's receives diagnosis of mssa- causing pulmonary hypertension, chf, aortic valve regurgitation, a stretched mitral valv

Endocarditis: Anoxic brain injury can occur after cardiac arrest. The heart disease you mention could lead to cardiac arrest but you did not mention this in your history. I am concerned about endocarditis, infection of the heart valve, with history of mssa bacteremia. ...Read more

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Dr. Dariush Saghafi
12 doctors shared insights

Absent Pulmonary Valve (Overview)

Absent pulmonary valve is a congenital defect (occurring at birth). The pulmonary valve of the heart is absent or poorly formed. It can occur as a single defect or as the part of a complex congenital heart condition such as Tetralogy of Fallot.


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In 65 y/o female with asthma and previous cardiac arrest W/ROSC during Pulm. Embolectomy W/ CPB. Which is safest method for pericardial window?

In  65 y/o female with asthma and previous cardiac arrest W/ROSC during Pulm. Embolectomy W/ CPB. Which is safest  method for pericardial window?

Complicated question: You ask a VERY complicated question about a complex medical history. The 1st thing to ascertain: "why do you need a pericardial window?" Normally, they are for recurrent cardiac effusions; despite the dramatic surgery & event, effusions aren't typical after cardiac arrest. 2nd, need to know why pulm embolism developed. TTYD or use HealthTap Prime to find answers/specialists. Not enough space here. ...Read more

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Need heart valve replacement soon; which is best valve?

Need heart valve replacement soon; which is best valve?

Too complicated: Can't answer this here. Talk to your heart surgeon. "best" valve depends on their expertise, your specific situation and your future plans. ...Read more

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Echo result shows three mild leaking valves" mitral, tricuspid,and pulmonary"plus mild/moderate pulmonary HTN 42,57 Any problem will occur in future?

Echo result shows three mild leaking valves" mitral, tricuspid,and pulmonary"plus  mild/moderate pulmonary HTN 42,57
Any problem will occur in future?

Hard to know...: More follow-up and directed testing may be necessary, especially for the pulmonary hypertension, in order to offer you an accurate prognosis. What's the cause? And how rapidly are the valve architecture and pulmonary pressures changing? These questions need to be answered to offer you a prognosis. Coordinate with Cardiologist. ...Read more

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Is there an effective way to mitigate mild aortic valve sclerotic and aortic valve regurgitation?

Is there an effective way to mitigate mild aortic valve sclerotic and aortic valve regurgitation?

Aortic valve: We have no specific steps other than good medical care. If hypertensive it needs treatment, anti atherosclerotic therapy is also appropriate. ...Read more

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My condition - aortic valve insufficiency and mitral valve insufficiency, is it ok to undergo warfarin treatment?

My condition - aortic valve insufficiency and mitral valve insufficiency,  is it ok to undergo warfarin treatment?

Yes,it is often used: Warfarin is an anticoagulan twhich is commonly used if your heart rate/pulse is irregular due to atrial fibrillation or if you have artificail heart valves placed in your heart.It prevents the risk of blood clots/ emboli which tend to form under the above two conditions and these emboli can lodge in the brain and cause a stroke. So it is an important blood thinner that you need to continue to use. ...Read more

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Best exercise for pulmonary fibrosis weight lifting or cardio?

Best exercise for pulmonary fibrosis weight lifting or cardio?

Cardio: You have to be careful when exercising as you want your oxygenation to remain above 88%. I tend to tell my patients that cardio is a better exercise for them as weight lifting can be associated with big swings in your blood pressure and valsalva that could precipitate an episode of syncope"passing out". As usual, everything with moderation is better and talk to your doctor before doing exercise. ...Read more

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How could pulmonary hypertension in mitral stenosis prevent pulmonary edema?

How could pulmonary hypertension in mitral stenosis prevent pulmonary edema?

Less flow to lungs: If the pressure in the pulmonary artery is high enough, the right ventricle's ability to pump bood to the lungs is diminished. Less blood flow to the lungs means that there is less fluid to leak out into the air spaces ( alveoli). ...Read more

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Anybody code with pulmonary valve replacement?

Anybody code with pulmonary valve replacement?

There are many: possible reasons for "coding" unassociated with open heart surgery. Any patient considered for pulmonary valve replacement will be appropriately evaluated prior to surgery to optimize their postoperative recovery. Even with that preparation there is always a chance that bad things can happen. ...Read more

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Will cardio exercise cause leakage of your mitral heart valve if your mitral valve is weakened due to endocarditis?

Will cardio exercise  cause leakage of your mitral heart valve if your mitral valve is weakened due to endocarditis?

No: Cardio improves overall heart-lung-muscle function. A leaking valve will not be damaged, per se. However, depending on the amount of valve damage and leak from the endocarditis, total cardio performance may be limited. Discuss with you doctor about performing an exercise stress test before engaging in strenuous cardio exercise. ...Read more

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Whats a heart defect called supracardiactotal anomalous pulmonary venous return?

Abnormal lung veins: The pulmonary veins are the vessels that normally bring blood with oxygen back to the heart from the lungs. Supracardiac tapvr is when these veins drain to the innominate vein which eventually brings that blood back to the right side of the heart rather than the left. This requires surgical repair. Babies born with this usually have much lower than normal oxygen levels and appear blue. ...Read more

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Pulmonary hypertension in echo, so heart catheterization next. With EDS (weaker collagen)&many vascular symptoms, is the test OK for me? Other option?

Pulmonary hypertension in echo, so heart catheterization next. With EDS (weaker collagen)&many vascular symptoms, is the test OK for me? Other option?

It is the best tests: EDS can cause pulmonary hypertension, a condition that usually is difficult to diagnose with the physical exam only. Most cardiologist would start with non-invasive testing like an echocardiogram but to confirm such diagnosis right heart catheterization is still the best ( invasive) diagnostic procedure. Follow up with your cardiologist because there is treatment for pulmonary HTN. ...Read more

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Whether Mild Tricuspid regurgitation and Mild Pulmonary Arterial Hypertension in Echocardiography of 17Y old boy is a disqualification for aviation?

Whether Mild Tricuspid regurgitation and Mild Pulmonary Arterial Hypertension  in Echocardiography of 17Y old boy is a disqualification for aviation?

Cardiologist: In cases like this I would think that a cardiologist could do a thorough evaluation of the cardiac status and make a determination if there is any serious or hemodynamically significant cardiac pathology which would limit your ability to safely pilot an airplane. This thorough report would accompany the application. In view of the mild echocardiogram findings, I would be optimistic about a licens ...Read more

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How accurate is 2D Echocardiogram likelyhood of NonSustained VT in" Normal structure heart" Mitral Valve Repair few yrs on With excellent Echo result?

How accurate is 2D Echocardiogram likelyhood of NonSustained VT in" Normal structure heart" Mitral Valve Repair few yrs on With excellent Echo result?

Mixed up: 2D echo is extremely accurate for assessing the physical structure of a heart, e.g., after MV repair. While there is a general correlation of NSVT with low EF, the 2D echo does NOT, per se, predict arrhythmia or rule them out. ...Read more

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What are recommendations for pulmonary valve stenosis repair in infants?

What are recommendations for pulmonary valve stenosis repair in infants?

Pulmonary stenosis: There are a number of variables that pediatric cardiologists and heart surgeons take into consideration when determining how to approach pulmonary valve stenosis in a neonate. Generally speaking, a catheter-based approach is desirable to avoid surgery, and may be attempted first provided that the anatomy and other patient factors are amenable to that. ...Read more

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Cardiology- what is the mortality for someone that has, aortic (bicuspid) valve stenosis at age 43?

Cardiology- what is the mortality for someone that has, aortic (bicuspid) valve stenosis at age 43?

Low: Like all things, bicuspid aortic valve stenosis comes in small/medium/high risk: the echo/doppler will have a high velocity of 4 meters/second when severe and the left ventricle will likely have hypertrophy (be thick). That is not all there is to it, but you cardiologist can easily piece together your variables: in all probabilty, you are sentenced to life for quite a while. ...Read more

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What is the standard treatment for someone with pfo, tricuspid valve leaking severely, congestive heart failure with high blood pressure & is nursing?

What is the standard treatment for someone with  pfo, tricuspid valve leaking severely, congestive heart failure with high blood pressure & is nursing?

Closure: Patients with severe tricuspid regurgitation may develop cyanosis and dyspnea because of the direction of tricuspid regurgitation across the pfo. Device closure may be clinically beneficial. ...Read more

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What is the best heart surgeons for aorta valve replacement in pasadena texas?

What is the best heart surgeons for aorta valve replacement in pasadena texas?

Texas has many : There are several excellent academic and teaching hospitals in texas that are among the world's finest when it comes to aortic valve replacement. Baylor medical center in houston, texas heart institute in houston, university of texas in austin or san antonio, and several teaching hospitals in dallas area are outstanding. Those are just a few of the many excellent places in texas. ...Read more

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Icd 9 for pt who is on Coumadin (warfarin) due to mechanical heart valve?

Icd 9 for pt who is on Coumadin (warfarin) due to mechanical heart valve?

V58.83: Use v58.83, “encounter for therapeutic drug monitoring, ” for the primary diagnosis followed by v58.61, “long-term current use of anticoagulants, ” and v43.3 for the heart valve. Codes v58.61 and v43.3 are designated for use as secondary diagnosis codes only. ...Read more

Dr. Milroy Samuel
1 doctor shared a insight

Valve (Definition)

A valve is a structure that regulates the direction of flow. The heart is a special kind of pump. It moves blood by squeezing and relaxing. There are 4 chambers and each chamber has a valve. This keeps blood from moving backwards when the heart squeezes. When a chamber squeezes it lets the blood move forward but when the chamber is relaxed it prevents the blood from ...Read more


Pulmonary Valve (Definition)

The heart has 4 chambers. The right ventricle is the pumping chamber whic h pushes blood into the lungs so oxygen can be put into the blood. When the right ventricle squeezes, the pulmonary valve opens and blood flows into the lungs. When the right ventricle relaxes to fill, the pulmonary valve closes so blood can't flow backwards ...Read more