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2.1
Congenital Pulmonary Valve Stenosis
Valvular Pulmonary Stenosis

Presentation

[…] if the condition was present at the time of inpatient admission. [icd.codes]

Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea. [ncbi.nlm.nih.gov]

The severity of disease will determine when the patient presents clinically. Mild pulmonic stenosis will be asymptomatic, and will present at routine physical examination with a systolic ejection murmur. [clinicaladvisor.com]

Stenosis - when the valve doesn't open enough and blocks blood flow Valve problems can be present at birth or caused by infections, heart attacks, or heart disease or damage. [icdlist.com]

A heart murmur is the most common sign detected by a physician indicating that a valve problem may be present. [cincinnatichildrens.org]

Cardiovascular

  • Systolic Murmur

    Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea. [ncbi.nlm.nih.gov]

    Systolic Murmurs - Pulmonary Stenosis You are listening to a typical example of the murmur caused by pulmonary valve stenosis. [med.ucla.edu]

    Ejection systolic murmur along the left upper edge of the sternum. Pulmonary ejection click. Delayed second heart sound with severe stenosis. Parasternal thrill and heave. 'A waves' in the JVP. [patient.info]

    Physical examination revealed grade 3/6 systolic murmur over the precordium, most prominent in left 2 nd intercostal space. The second heart sound was inaudible. [scirp.org]

    In the second and third intercostal space to the left of the sternum there is a prominent thrill and clear harsh systolic murmur. Infundibular stenosis in the presence of murmur is heard in the third and fourth intercostales space. [remedyland.com]

Treatment

This procedure should be considered as the primary treatment of adult patients with pulmonary valve stenosis. [ncbi.nlm.nih.gov]

Many children with congenital heart defects don't need treatment, but others do. Treatment can include medicines, catheter procedures, surgery, and heart transplants. [icdlist.com]

What is the treatment? Treatment is only needed when the narrowing is of a sufficient severity to be a concern. Some people with only mild or moderate narrowing never need any treatment. [childrensheartcentre.com]

Prognosis

Prognosis Pulmonary regurgitation is usually well tolerated in childhood. [patient.info]

What is the prognosis? The prognosis for this condition is generally good, with survival without complications nearly 100%. In the long term, these children fare well and most have no symptoms and lead normal lives. [childrensheartcentre.com]

Prognosis for pulmonary valve stenosis Patients with moderate stenosis can have a normal life. Bacterial endocarditis can be developed. [remedyland.com]

Mild-pulmonic stenosis has a generally favorable prognosis. Many times, the stenosis will improve or go away completely over the first few years of life. [clinicaladvisor.com]

Etiology

Congenital etiologies cause an abnormal development of distal bulbus cordis secondary to: Rubella embryopathy (most important etiology) Isolated branch pulmonary artery stenosis (stenosis of a sling of the ductus arteriosus) Congenital/genetic syndromes [unboundmedicine.com]

Specific features depend on the etiology, which affects the level at which the obstruction to right ventricular outflow occurs: valvular pulmonic stenosis most common cause level of obstruction thickened and/or structurally abnormal valve leaflets leaflets [radiopaedia.org]

The etiological differential features of valvular pulmonic stenosis are shown in Table 1. 3.2. Clinical Characteristics 3.2.1. [scirp.org]

(Etiology) Pulmonary Valve Stenosis is a narrowing of the pulmonary valve which occurs at birth. The exact cause of the condition is unknown. [dovemed.com]

The most common etiologies are carcinoid syndrome, rheumatic fever, and homograft dysfunction. [4] Years of stenosis can result in subendocardial hypertrophy causing significant outflow obstruction and resulting in right ventricular pressure overload [emedicine.medscape.com]

Epidemiology

Valves made from animal or human tissue (are used for valve replacement), in adults metal valves can be used. [9] [10] Epidemiology [ edit ] The epidemiology of pulmonary valve stenosis can be summed up by the congenital aspect which is the majority of [en.wikipedia.org]

Explore these free sample topics: -- The first section of this topic is shown below -- Basics Description Deformity of pulmonary valve, most commonly congenital, resulting in obstruction of right ventricular (RV) outflow Epidemiology Incidence Predominant [unboundmedicine.com]

Both pulmonary stenosis (PS) and pulmonary regurgitation are often well tolerated for long periods but the overload of the right ventricle has a progressively detrimental effect on right ventricular function. [ 1 ] Epidemiology Pulmonary valve disease [patient.info]

As this process worsens, the asymptomatic adult becomes gradually symptomatic. [11, 12] Epidemiology Occurrence in the United States Approximately 5 out of 1000 infants are born with a congenital cardiac malformation. [5] Cardiac malformation is the most [emedicine.medscape.com]

Epidemiology of ischemic stroke subtypes according to TOAST criteria: incidence, recurrence, and long-term survival in ischemic stroke subtypes: a population-based study. Stroke 32, 2735–2740 (2001). 31. Sacco, R. L. et al. [nature.com]

Pathophysiology

The cause in turn is divided into: valvular, external and intrinsic (when it is acquired). [1] Pathophysiology [ edit ] The pathophysiology of pulmonary valve stenosis consists of the valve leaflets becoming too thick (therefore not separate one from [en.wikipedia.org]

Pathophysiology A systolic pressure gradient between the pumping chamber and its downstream artery is the primary hemodynamic abnormality of stenosis regardless of whether the obstruction is right- or left-sided. [pedsinreview.aappublications.org]

[…] male ( 1 ) African Americans (46.5%), Hispanics (33.1%), and Caucasians (20.4%) ( 1 ) Prevalence 10% of all cases of congenital heart disease In association with other lesions, may be as high as 25–30% of congenital heart disease ( 1 ) Etiology and Pathophysiology [unboundmedicine.com]

[…] analyzed the treatment, quality of life, echocardiography findings, complications, exercise responses, and predisposition to endocarditis with regards to cardiac valvular disease, and pulmonary stenosis was found to be the most benign valvular lesion. [9] Pathophysiology [emedicine.medscape.com]

Prevention

Patients with severe or moderate to severe pulmonary valve stenosis require intervention to prevent long term damage to the heart. [pediatricheartspecialists.com]

Endocarditis Prevention If you have PS, you don't need to take antibiotics to prevent endocarditis unless you've had prior endocarditis or you've had valve replacement. See the section on Endocarditis for more information. [heart.org]

It can help to prevent an infection of the valve. Not everyone with valve stenosis will need this step. [winchesterhospital.org]

The pulmonary valve functions as a one-way valve that allows blood to move from the right ventricle (pumping chamber) into the artery to the lungs and prevents blood from leaking back into the right ventricle. [childrenshospital.org]

Prevention & Risk Assessment Prevention & Risk Assessment What causes pulmonary stenosis? Congenital pulmonary stenosis occurs due to improper development of the pulmonary valve in the first eight weeks of fetal growth. [childrensnational.org]

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