Pulmonary valve insufficiency: Malignant or benign?

Summary Tetralogy of Fallot is the most common cyanogenic congenital heart defect. The diagnosis is based on clinical signs, ECG examination, ultrasound examination of the heart, additional imaging methods and invasive testing. The therapeutic approach to the patient with tetralogy is complex and based on conservative and radical methods. Patients who have not undergone a radical surgical intervention have a poor prognosis, whereas the prognosis is much better for patients who have been operated. The most common complication of the surgical treatment is the pulmonary valve insufficiency which usually requires reintervention, as was the case with our patient.

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Efficacy and safety of balloon valvuloplasty as a treatment of choice for pulmonary stenosis in children and adolescents

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1410542p ◽

2014 ◽

Vol 142 (9-10) ◽

pp. 542-546

Author(s):

Vojislav Parezanovic ◽

Milan Djukic ◽

Sanja Dzelebdzic ◽

Tamara Ilisic ◽

Igor Stefanovic ◽

...

Keyword(s):

Congenital Heart ◽

Pulmonary Valve ◽

Heart Defects ◽

Pulmonary Stenosis ◽

Age Groups ◽

Balloon Valvuloplasty ◽

Pulmonary Artery Stenosis ◽

Pulmonary Valve Insufficiency ◽

Valve Insufficiency

Introduction. Pulmonary artery stenosis (PS) is a congenital heart defect which occurs in 10% of all congenital heart defects. Pulmonary balloon valvuloplasty (BVP) has been the treatment of choice of PS over the last 30 years. Objective. The purpose of this study was to evaluate the efficacy of this method based on middle-term hospital follow-up, and safety of BVP based on our experience. Methods. The study included 88 patients diagnosed with PS. The patients were divided into three groups based on the severity of the disease. Also, they were divided into two age groups in order to analyze the frequency of complications. Hemodynamic measurements and echocardiography results were recorded before, 24-36 hours after BVP and at the end of follow-up. Results. The studied group involved patients of average age 3.75?4.3 years (20 days to 17 years). Immediately after BVP a significant decrease of pressure gradient across the pulmonary valve (PV) was recorded in all patients; this result was similar in all 3 groups of patients regardless of the severity of stenosis (p<0.001). Complications of BVP occurred most commonly in children up to 12 months of age (ventricular tachycardia 4.5% and supraventricular tachycardia 6.8%). Pulmonary valve insufficiency after dilatation occurred in 6.6% of cases, and was most common in children aged up to 12 months. In 87 (98.9%) patients BVP was a definitive solution, and a significant residual stenosis was not recorded during follow-up. Conclusion. BVP is a safe and effective procedure in the treatment of isolated PS in children, regardless of the severity of stenosis but also regardless of patients? age.

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Chronic pulmonary valve insufficiency after repaired Tetralogy of Fallot: diagnostics, reoperations and reconstruction possibilities

Expert Review of Cardiovascular Therapy ◽

10.1586/14779072.5.2.221 ◽

2007 ◽

Vol 5 (2) ◽

pp. 221-230 ◽

Cited By ~ 8

Author(s):

Alexander Kadner ◽

Igor I Tulevski ◽

Urs Bauersfeld ◽

René Prêtre ◽

Emanuela R Valsangiacomo-Buechel ◽

...

Keyword(s):

Tetralogy Of Fallot ◽

Pulmonary Valve ◽

Repaired Tetralogy Of Fallot ◽

Pulmonary Valve Insufficiency ◽

Valve Insufficiency

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Repair of Pulmonary Valve Insufficiency Using an Autologous Monocusp

The Annals of Thoracic Surgery ◽

10.1016/s0003-4975(10)60592-9 ◽

1986 ◽

Vol 42 (5) ◽

pp. 587-589 ◽

Cited By ~ 7

Author(s):

L. Douglas Cowgill ◽

David N. Campbell ◽

Leslie Kelminson ◽

David R. Clarke

Keyword(s):

Pulmonary Valve ◽

Pulmonary Valve Insufficiency ◽

Valve Insufficiency

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Pulmonary valve insufficiency 12 years after high-velocity blunt chest trauma

European Journal of Cardio-Thoracic Surgery ◽

10.1093/ejcts/ezy353 ◽

2018 ◽

Vol 55 (6) ◽

pp. 1234-1235

Author(s):

Ventsislav Sheytanov ◽

Mahmoud S Wehbe ◽

Nicolas Doll ◽

Ioannis Tzanavaros

Keyword(s):

High Velocity ◽

Blunt Chest Trauma ◽

Chest Trauma ◽

Pulmonary Valve ◽

Pulmonary Valve Insufficiency ◽

Valve Insufficiency

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Degenerative Pulmonary Valve Insufficiency in a Patient with a Prior Bentall Procedure

The Annals of Thoracic Surgery ◽

10.1016/j.athoracsur.2020.07.058 ◽

2020 ◽

Author(s):

Austen Hufton ◽

Joshua S. Newman ◽

Stevan S. Pupovac ◽

Allan Mattia ◽

Alan R. Hartman

Keyword(s):

Pulmonary Valve ◽

Bentall Procedure ◽

Pulmonary Valve Insufficiency ◽

Valve Insufficiency

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Hemolysis and Pulmonary Insufficiency following Right Ventricular Assist Device Implantation

Case Reports in Transplantation ◽

10.1155/2012/376384 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3

Author(s):

Sarah A. Schubert ◽

Behzad Soleimani ◽

Walter E. Pae

Keyword(s):

Right Ventricular ◽

Ventricular Assist Device ◽

Pulmonary Valve ◽

Ventricular Assist Devices ◽

Pulmonary Insufficiency ◽

Assist Device ◽

Ventricular Assist ◽

Pulmonary Valve Insufficiency ◽

Valve Insufficiency ◽

Right Ventricular Assist Device

We report a case of severe hemolysis and pulmonary valve insufficiency (PI) following right ventricular support using a paracorporeal pneumatic pump (Abiomed, Danvers, MA, USA). We speculate that the high velocity jet of blood emanating from the outflow cannula caused turbulence above the pulmonary valve, leading to PI and hemolysis. Despite the growing number of implanted ventricular assist devices, we could find no report in the literature describing pulmonary valve insufficiency secondary to right ventricular assist device (RVAD) placement. Fortunately, in this case, right ventricular function recovered sufficiently after seven days of support, allowing explantation of the device and resolution of PI and hemolysis.

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