What are the management options for a 17 day old neonate with severe(ppg 115mmhg) pulmonary valvular stenosis?
next time pls add details huh.
pulmonary valve? what scenario?
*bicuspid?
*dysplastic?
is the patient cyanotic?
tip for you:
*Laboratory evaluation usually is not helpful.
*Oximetry provides information on possible right-to-left shunting in borderline cyanotic lesions or in patients with anemia but does not identify the cause of the shunt (pulmonary, interatrial, interventricular, great arterial).
*Although arterial blood gases (ABG) analysis usually is not needed, one notable exception is the hyperoxia test in newborns with cyanosis of undetermined origin.
*Administered 100% FIO2 generally does not increase the partial pressure of oxygen to levels much greater than 100 mm Hg in patients with a cyanotic congenital heart defect.
my point: surgical operation required. go see your doc.
JOMAR S.T. NDGM '96 (
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What are the 3P's that the murmur increases during inspiration?I know that one of them is Pulmonary stenosis..?
I need to know the other two conditions that the murmur increases during inspiration????????
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Pulmonary AV fistula
Pulmonary regurgitation (
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My wife is 22 and was diagnosed with Pulmonary Stenosis... what concerns should we have?
She does a lot of cardio excercise, and has a history of high blood pressure and has a murmur (that may or may not be related... perhaps an explaination on how stenosis does or doesn't relate to murmurs would be very helpful as well). The stenosis seems to be in the blood vessel, not at a valve, but we will confirm with an MRI.
What concerns should we have about my wife's health? Is it problematic that this has been undiagnosed for so long? We are aware that this condition can be passed on... should we reconsider our plans to have children, and consider adoption?
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The pulmonary valve opens to let blood flow from the right ventricle to the lungs. Narrowing of the pulmonary valve (valvar pulmonary stenosis) causes the right ventricle to pump harder to get blood past the blockage. If the stenosis is severe, especially in babies, some cyanosis (blueness) may occur. Older children usually have no symptoms.
Treatment is needed when the pressure in the right ventricle is high (even though there may be no symptoms). In most children the obstruction can be relieved during cardiac catheterization by balloon valvuloplasty. In this procedure, a special catheter containing a balloon is placed across the pulmonary valve. The balloon is inflated and the valve is stretched open. In other patients surgery may be needed. During surgery the valve can usually be opened so that it works well again.
The outlook after balloon valvuloplasty or surgery is favorable. Still, follow-up is needed to find out if the heart works normally. Children with pulmonary stenosis are at risk for an infection of the valve (endocarditis) before and after surgery. Your child should get antibiotics such as amoxicillin before dental work and certain surgeries to help prevent endocarditis. Good dental hygiene lowers the risk of endocarditis, too. Ask your pediatric cardiologist for more information about dentThe pulmonary valve opens to let blood flow from the right ventricle to the lungs. Narrowing of the pulmonary valve (valvar pulmonary stenosis) causes the right ventricle to pump harder to get blood past the blockage. If the stenosis is severe, especially in babies, some cyanosis (blueness) may occur. Older children usually have no symptoms.
Treatment is needed when the pressure in the right ventricle is high (even though there may be no symptoms). In most children the obstruction can be relieved during cardiac catheterization by balloon valvuloplasty. In this procedure, a special catheter containing a balloon is placed across the pulmonary valve. The balloon is inflated and the valve is stretched open. In other patients surgery may be needed. During surgery the valve can usually be opened so that it works well again.
The outlook after balloon valvuloplasty or surgery is favorable. Still, follow-up is needed to find out if the heart works normally. Children with pulmonary stenosis are at risk for an infection of the valve (endocarditis) before and after surgery. Your child should get antibiotics such as amoxicillin before dental work and certain surgeries to help prevent endocarditis. Good dental hygiene lowers the risk of endocarditis, too. Ask your pediatric cardiologist for more information about dental hygiene and preventing endocarditis
al hygiene and preventing endocarditis (
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What is Pulmonary Stenosis?
I tried looking it up on Wikipedia, but didn't really understand it. If anyone can help me, I would greatly appreciate it?
I think it's called Pulmonary Stenosis or Pulmonary Valve Stenosis.
I want to know what it is and if it's dangerous?
And what safety precautions you should take if you have it?
And any other information would be great. Thanks! ^_^
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Pulmonary stenosis is a congenital (present at birth) defect that occurs due to abnormal development of the fetal heart during the first 8 weeks of pregnancy.
The pulmonary valve is found between the right ventricle and the pulmonary artery. It has three leaflets that function like a one-way door, allowing blood to flow forward into the pulmonary artery, but not backward into the right ventricle.
With pulmonary stenosis, problems with the pulmonary valve make it harder for the leaflets to open and permit blood to flow forward from the right ventricle to the lungs. In children, these problems can include:
* a valve that has leaflets that are partially fused together.
* a valve that has thick leaflets that do not open all the way.
* the area above or below the pulmonary valve is narrowed.
Read more at...
http://www.healthsystem.virginia.edu/uvahealth/peds_cardiac/ps.cfm (
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i am pulmonary stenosis patient and i need some help?
I'm a pulmonary stenosis patient since i was born. i did balloon angioplasty surgery when i was 2 and everything was good. now i am 16 and lately i feel hard to breath and pain on my chest. i have to open my mouth in order to breath. so, should i do the second surgery? tell me what i have to do and what symptom i have now..
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One cannot properly answer your question based on the information you provided. Are you being followed by a pediatric cardiologist? You should have annual echocardiograms where continuous wave and pulse wave doppler measures the pressure across the valve. If you are not being followed, you should be. Your Cardiologist is only only one who can tell you what interventional procedures you may require based on comparing your echocardiogram studies and symptoms over time. Along with other findings as well. Typically, congenital heart disease patients often require repeat procedures/surgeries to accomodate for age and size, stenosis or regurgitation. Also, holes may also need repairing over time. (
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My 2yr old daughter has pulmonary valve stenosis. Her Heart mummer is getting louder should I be concerned?
DUH! (
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my 2 month old son has been diagnosed w mild pulmonary stenosis is immunisation still ok?
(
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pulmonary valve stenosis in my eight month old daughter.?
My eight month old daughter was just diagnosed with pulmonary valve stenosis. Anyone have an experience with this? Did you have cardiac catherization? Did that fix the problem?
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Treatment
Patients with mild to moderate pulmonary valve stenosis, and few or no symptoms, do not require treatment. In more severe cases, the blocked valve will be opened surgically, either through balloon valvuloplasty or surgical valvulotomy. For initial treatment, balloon valvuloplasty is the procedure of choice. This is a catherization procedure in which a special catheter containing a deflated balloon is inserted in a blood vessel and threaded up into the heart. The catheter is positioned in the narrowed heart valve and the balloon is inflated to stretch the valve open.
In some cases, surgical valvulotomy may be necessary. This is open heart surgery performed with a heart-lung machine. The valve is opened with an incision and in some cases, hypertrophied muscle in the right ventricle is removed. Rarely does the pulmonary valve need to be replaced.
Alternative treatment
Pulmonary valve stenosis can be life threatening and always requires a physician's care. In mild to moderate cases of pulmonary valve stenosis, general lifestyle changes, including dietary modifications, exercise, and stress reduction, can contribute to maintaining optimal wellness.
Prognosis
Patients with the most severe form of pulmonary valve stenosis may die in infancy. The prognosis for children with more severe stenosis who undergo balloon valvuloplasty or surgical valvulotomy is favorable. Patients with mild to moderate pulmonary stenosis can lead a normal life, but they require regular medical care.
finally i wish the lil baby all health :)
if you have any specific question my e-mail
[email protected] (
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Can Pulmonary Valve Stenosis cure over time?
They used to tell my parents it would correct itself by the time I was five but it never did so can it fix on its own?
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Unfortunately pulmonary valve, or any heart valve stenosis for that matter requires surgery to correct it. Doctors can either open it up (stenosis means narrowing of the valve, thus blood couldn't pass through normally as it should), or replace the valve itself if the stenosis is irreparable. Medications used before surgery may include prostaglandins (PGE) to maintain lung blood flow, water pills to remove the excess fluid, anti-arrhythmics to improve the heart function, and blood thinners to prevent clots.
This needs to be done to ensure adequate blood flow in your heart because as you know our heart acts as pump to supply blood in our body. (
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How would sounds be affected by A-V valve prolapse? aortic valve stenosis? Pulmonary valve stenosis? A-V valve
AV valve prolapse will produce a non-ejection click. Aortic stenosis will produce softening of aortic component of second heart sound, an ejection click and a mid systolic murmur. Pulmonary valve stenosis will soften the pulmonary component of second heart sound, an ejection click and a mid systolic murumur. (
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