Pulmonary valve stenosis

Alternative Names

Treatment

Sometimes, treatment may not be required.

Percutaneous balloon pulmonary dilation (valvuloplasty) using a catheter can be successful for the form of pulmonary valve stenosis that occurs without the presence of other heart defects.

Surgical repair of the defect may also be performed.

Medications used before surgery may include prostaglandins, water pills to remove the excess fluid, anti-arrhythmics to improve the heart function, and blood thinners to prevent clots.

Outlook (Prognosis)

As a general rule with mild stenosis, one-third of patients get better, one-third stay the same, and one-third get worse. The outcome is good with successful surgery or cardiac catheterization. Other congenital heart defects may also be a factor.

Possible Complications

• Heart failure
• Right ventricular hypertrophy (enlargement)
• Cyanosis
• Pulmonary regurgitation after repair
• Death

When to Contact a Medical Professional

Call your health care provider if symptoms associated with pulmonary valve stenosis occur.

Call your health care provider if swelling (of the ankles or any area), difficulty breathing, or other new symptoms develop in a person with treated or untreated pulmonary valve stenosis.

References

Zipes DP, Libby P, Bonow RO, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, 8th ed. St. Louis, Mo; WB Saunders; 2007.