Doctor insights on:
Pulmonary Valve Stenosis Symptoms
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 stenosis: Treatment for pulmonary valve stenosis varies depending upon the severity of stenosis and symptoms, and whether this is an isolated finding or there are other comorbid issues. Generally patients with mild to moderate stenosis may not require intervention, whereas patients with moderate to severe stenosis might require a catheter -or surgical-based approach to open up the narrowing. ...Read more
Depends: Depends on age, size of infundibulum, pulmonary annulus, tricuspid or bicuspid valve or degree of pulmonary atresia, primary or redo after previous congenital cardiac surgical repair. If it is a newborn and the annulus size is good and magoon ratio good, simple balloon angioplasty can be considered. Later on stented bioprosthesis can be considered. Otherwise pulmonary homograft at birth may be need. ...Read more
Pulmonary stenosis: Mild to moderate pulmonary valve stenosis generally has a good prognosis. Mild pulmonary valve stenosis usually does not progress, but moderate pulmonary valve stenosis may worsen over time and require surgery. Treatment is generally highly successful allowing people to live high quality lives provided that they do not have other comorbid problems. ...Read more
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
My eight month old daughter was just diagnosed with pulmonary valve stenosis. Can you tell me more about this?
Severity?: It is a congenital defect in which the valve that allows blood to pass out of the right ventricle into the pulmonary artery and lungs doesn't open properly. If mild, it causes no symptoms. If severe, it can strain the right ventricle which eventually will fail. The valve can be stretched open with a catheter (valvuloplasty) or replaced with surgery. ...Read more
What do you suggest if my eight month old daughter was just diagnosed with pulmonary valve stenosis. anyone have an experience with this?
Pulmonary stenosis: She needs to be evaluated by a Pediatric Cardiologist. Then you need to get a discussion from that Doc. ...Read more
Excellent: Isolated pulmonary valve stenosis, even if severe, has an excellent long-term outcome. Mild pulmonary valve stenosis is typically asymptomatic with normal exercise tolerance and normal lifespan. Significant pulmonary valve stenosis typically can be successfully treated with balloon valvuloplasty (a safe procedure) and after treatment, patients have an excellent long-term outcome. ...Read moreSee 3 more doctor answers
Get the flu shot: Of course after a pulmonary valve replacement or repair, your child is going to be in the cardiac ICU for a period of time and on the floor. There's going to be ample time to get advice on what to do. Make sure they get the flu shot, and more than likely your child is going to need antibiotics before dental cleanings and certain medical procedures. Make sure they always get that taken care of. ...Read moreSee 1 more doctor answer
Daughter had pulmonary valve stenosis and balloon cath was done. After 8yrs she now has a leaky valve. What is the next step?
See cardiologist: The child needs to be evaluated by a cardiologist. Once a diagnosis has been firmly established, as well as consequences of the situation at this time, then a treatment plan can be organized. This may involve medical management. Or may progress to needing surgery to fix the problem. ...Read moreSee 1 more doctor answer
Daughter had pulmonary valve stenosis and the balloon cath was done. She now has a leaky valve after 8 yrs. What is the next step?
RV size?: Pulmonary valve insufficiency is common after surgery or balloon valvuloplasty for pulmonary valve stenosis. The most reliable sign predicting the severity of the insufficiency is the size of the right ventricle. If the right ventricle is normal in size or mildly increased, nothing need be done except follow-up. If the right ventricle becomes severely enlarged, valve replacement is required. ...Read moreSee 1 more doctor answer
When i was 8yrs old, my pulmonary valve was removed, not replaced, from stenosis. How common is this?
Incidence: This anomaly occurs in about 8 of every 10,000 people (live births). ...Read more
Depends on severity: Pulmonary stenosis can often be "fixed" in the cath lab with a balloon catheter. Mild stenosis is well tolerated and can often just be left alone. Surgery is used usually only after a balloon procedure was unsuccessful. Of possible more concern is the amount of pulmonary leak or regurgitation and the effect that this has on the right ventricle which may require pv replacement. ...Read more
Depends: Pulmonary valve atresia causes intense cyanosis and possibly respiratory distress. An absent pulmonary valve (tetralogy of fallot with absent pulmonary valve syndrome) presents with a heart murmur and respiratory distress. They usually have very dilated pulmonary arteries that compress the airways. ...Read moreSee 1 more doctor answer
Respiratory distress: Absent pulmonary valve syndrome is a rare form of congenital heart disease. There are some features that are similar to tetralogy of fallot. Absent pulmonary valve syndrome is different than pulmonary valve atresia. Corrective surgery is required. Typically, the dominant feature early is respiratory distress due to compression of the trachea and bronchi by enlarged pulmonary arteries. ...Read moreSee 2 more doctor answers
Rare defect: Absent pulmonary valve syndrome is a rare congenital heart defect. Some of the features are similar to tetralogy of fallot. An important difference in most babies with absent pulmonary valve syndrome is that the pulmonary arteries are very large, and often associated with problems with the airways. Surgery is required to repair the problems in the heart and repair the pulmonary arteries. ...Read more
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
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