Interv Akut Kardiol. 2003;2(4):198-201

Pulmonary Balloon valvuloplasty in 42-year-old man

Petr Růžička, Josef Nečas, Petr Malík

Centrum kardiovaskulární a transplantační chirurgie v Brně

The paper describes the case of a 42-year-old man with hemodynamically significant congenital pulmonary valve stenosis. The patient was symptomatic on pharmacological therapy, with exercise dyspnoe NYHA III, there was a peak gradient of 137 mmHg on pulmonary valve and a heavy hypertrophy of the right ventricle with the wall thickness of 20 mm on echocardiographic examination. The significant pulmonary stenosis with gradient of 165 mmHg was confirmed on catheterization, the percutaneous ballon pulmonary valvuloplasty was performed and the gradient dropped to 53 mmHg immediately. The patient was improved to functional class NYHA II after 3 months of follow-up, there was a regression of right ventricle hypertrophy to 18 mm and the residual gradient on pulmonary valve was 40 mmHg on echocardiographic examination.

Pulmonary ballon valvuloplasty is a safe and efficient mode of treatment of pulmonary valve stenosis. Considering contemporary availability of echocardiographic examination, this valve disease should be diagnosed and treated in childhood age already.

Keywords: pulmonary stenosis, balloon valvuloplasty, heart catheterization.

Published: December 31, 2003  Show citation