The pathologic narrowing of the orifice of the PULMONARY VALVE. This lesion restricts blood outflow from the RIGHT VENTRICLE to the PULMONARY ARTERY. When the trileaflet valve is fused into an imperforate membrane, the blockage is complete.
A valve situated at the entrance to the pulmonary trunk from the right ventricle.
A pathological constriction that can occur above (supravalvular stenosis), below (subvalvular stenosis), or at the AORTIC VALVE. It is characterized by restricted outflow from the LEFT VENTRICLE into the AORTA.
Widening of a stenosed HEART VALVE by the insertion of a balloon CATHETER into the valve and inflation of the balloon.
Backflow of blood from the PULMONARY ARTERY into the RIGHT VENTRICLE due to imperfect closure of the PULMONARY VALVE.
Narrowing below the PULMONARY VALVE or well below it in the infundibuluar chamber where the pulmonary artery originates, usually caused by a defective VENTRICULAR SEPTUM or presence of fibrous tissues. It is characterized by restricted blood outflow from the RIGHT VENTRICLE into the PULMONARY ARTERY, exertional fatigue, DYSPNEA, and chest discomfort.
A genetically heterogeneous, multifaceted disorder characterized by short stature, webbed neck, ptosis, skeletal malformations, hypertelorism, hormonal imbalance, CRYPTORCHIDISM, multiple cardiac abnormalities (most commonly including PULMONARY VALVE STENOSIS), and some degree of INTELLECTUAL DISABILITY. The phenotype bears similarities to that of TURNER SYNDROME that occurs only in females and has its basis in a 45, X karyotype abnormality. Noonan syndrome occurs in both males and females with a normal karyotype (46,XX and 46,XY). Mutations in a several genes (PTPN11, KRAS, SOS1, NF1 and RAF1) have been associated the the NS phenotype. Mutations in PTPN11 are the most common. LEOPARD SYNDROME, a disorder that has clinical features overlapping those of Noonan Syndrome, is also due to mutations in PTPN11. In addition, there is overlap with the syndrome called neurofibromatosis-Noonan syndrome due to mutations in NF1.
Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions.
The valve between the left ventricle and the ascending aorta which prevents backflow into the left ventricle.
Developmental abnormalities involving structures of the heart. These defects are present at birth but may be discovered later in life.
The pathologic narrowing of the orifice of the TRICUSPID VALVE. This hinders the emptying of RIGHT ATRIUM leading to elevated right atrial pressure and systemic venous congestion. Tricuspid valve stenosis is almost always due to RHEUMATIC FEVER.
Narrowing of the passage through the MITRAL VALVE due to FIBROSIS, and CALCINOSIS in the leaflets and chordal areas. This elevates the left atrial pressure which, in turn, raises pulmonary venous and capillary pressure leading to bouts of DYSPNEA and TACHYCARDIA during physical exertion. RHEUMATIC FEVER is its primary cause.
Surgical insertion of synthetic material to repair injured or diseased heart valves.
Pathological conditions involving any of the various HEART VALVES and the associated structures (PAPILLARY MUSCLES and CHORDAE TENDINEAE).
A combination of congenital heart defects consisting of four key features including VENTRICULAR SEPTAL DEFECTS; PULMONARY STENOSIS; RIGHT VENTRICULAR HYPERTROPHY; and a dextro-positioned AORTA. In this condition, blood from both ventricles (oxygen-rich and oxygen-poor) is pumped into the body often causing CYANOSIS.
The valve between the left atrium and left ventricle of the heart.
An infant during the first month after birth.
A device that substitutes for a heart valve. It may be composed of biological material (BIOPROSTHESIS) and/or synthetic material.
The valve consisting of three cusps situated between the right atrium and right ventricle of the heart.
Pathological condition characterized by the backflow of blood from the ASCENDING AORTA back into the LEFT VENTRICLE, leading to regurgitation. It is caused by diseases of the AORTIC VALVE or its surrounding tissue (aortic root).
Procedures in which placement of CARDIAC CATHETERS is performed for therapeutic or diagnostic procedures.
A congenital heart defect characterized by the narrowing or complete absence of the opening between the RIGHT VENTRICLE and the PULMONARY ARTERY. Lacking a normal PULMONARY VALVE, unoxygenated blood in the right ventricle can not be effectively pumped into the lung for oxygenation. Clinical features include rapid breathing, CYANOSIS, right ventricle atrophy, and abnormal heart sounds (HEART MURMURS).
Prosthesis, usually heart valve, composed of biological material and whose durability depends upon the stability of the material after pretreatment, rather than regeneration by host cell ingrowth. Durability is achieved 1, mechanically by the interposition of a cloth, usually polytetrafluoroethylene, between the host and the graft, and 2, chemically by stabilization of the tissue by intermolecular linking, usually with glutaraldehyde, after removal of antigenic components, or the use of reconstituted and restructured biopolymers.
Occlusion of the outflow tract in either the LEFT VENTRICLE or the RIGHT VENTRICLE of the heart. This may result from CONGENITAL HEART DEFECTS, predisposing heart diseases, complications of surgery, or HEART NEOPLASMS.
Narrowing or stricture of any part of the CAROTID ARTERIES, most often due to atherosclerotic plaque formation. Ulcerations may form in atherosclerotic plaques and induce THROMBUS formation. Platelet or cholesterol emboli may arise from stenotic carotid lesions and induce a TRANSIENT ISCHEMIC ATTACK; CEREBROVASCULAR ACCIDENT; or temporary blindness (AMAUROSIS FUGAX). (From Adams et al., Principles of Neurology, 6th ed, pp 822-3)
Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues. The standard approach is transthoracic.
Animals produced by the mating of progeny over multiple generations. The resultant strain of animals is virtually identical genotypically. Highly inbred animal lines allow the study of certain traits in a relatively pure form. (Segen, Dictionary of Modern Medicine, 1992)
Measurement of intracardiac blood flow using an M-mode and/or two-dimensional (2-D) echocardiogram while simultaneously recording the spectrum of the audible Doppler signal (e.g., velocity, direction, amplitude, intensity, timing) reflected from the moving column of red blood cells.
Developmental abnormalities in any portion of the VENTRICULAR SEPTUM resulting in abnormal communications between the two lower chambers of the heart. Classification of ventricular septal defects is based on location of the communication, such as perimembranous, inlet, outlet (infundibular), central muscular, marginal muscular, or apical muscular defect.
Pathologic deposition of calcium salts in tissues.
Narrowing or constriction of a coronary artery.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Cardiac manifestation of gastrointestinal CARCINOID TUMOR that metastasizes to the liver. Substances secreted by the tumor cells, including SEROTONIN, promote fibrous plaque formation in ENDOCARDIUM and its underlying layers. These deposits cause distortion of the TRICUSPID VALVE and the PULMONARY VALVE eventually leading to STENOSIS and valve regurgitation.
Narrowing of the spinal canal.
The plan and delineation of prostheses in general or a specific prosthesis.
Tracheal stenosis is a medical condition characterized by an abnormal narrowing or constriction of the lumen of the trachea, which can lead to respiratory distress and other related symptoms.
A type of heart valve surgery that involves the repair, replacement, or reconstruction of the annuli of HEART VALVES. It includes shortening the circumference of the annulus to improve valve closing capacity and reinforcing the annulus as a step in more complex valve repairs.
Heart sounds caused by vibrations resulting from the flow of blood through the heart. Heart murmurs can be examined by HEART AUSCULTATION, and analyzed by their intensity (6 grades), duration, timing (systolic, diastolic, or continuous), location, transmission, and quality (musical, vibratory, blowing, etc).
A congenital defect with major fissure in the ABDOMINAL WALL lateral to, but not at, the UMBILICUS. This results in the extrusion of VISCERA. Unlike OMPHALOCELE, herniated structures in gastroschisis are not covered by a sac or PERITONEUM.
Malformations of organs or body parts during development in utero.
A birth defect due to malformation of the URETHRA in which the urethral opening is below its normal location. In the male, the malformed urethra generally opens on the ventral surface of the PENIS or on the PERINEUM. In the female, the malformed urethral opening is in the VAGINA.
Congenital abnormalities caused by medicinal substances or drugs of abuse given to or taken by the mother, or to which she is inadvertently exposed during the manufacture of such substances. The concept excludes abnormalities resulting from exposure to non-medicinal chemicals in the environment.
Congenital malformations of the central nervous system and adjacent structures related to defective neural tube closure during the first trimester of pregnancy generally occurring between days 18-29 of gestation. Ectodermal and mesodermal malformations (mainly involving the skull and vertebrae) may occur as a result of defects of neural tube closure. (From Joynt, Clinical Neurology, 1992, Ch55, pp31-41)
Exposure of the female parent, human or animal, to potentially harmful chemical, physical, or biological agents in the environment or to environmental factors that may include ionizing radiation, pathogenic organisms, or toxic chemicals that may affect offspring. It includes pre-conception maternal exposure.
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.

Phasic right coronary artery blood flow in conscious dogs with normal and elevated right ventricular pressures. (1/265)

We studied phasic right coronary blood flow in well trained normal dogs and dogs with pulmonic stenosis. We installed electromagnetic flow transducers and pressure tubes under anesthesia to monitor right coronary blood flow, cardiac output, central aortic blood pressure, and right ventribular pressure. In normotensive dogs, systolic flow amplitude equaled early diastolic flow levels. The ratio of systolic to diastolic flow at rest was substantially greater in the right coronary bed (36+/-1.3%) than in the left circumflex bed (13+/-3.6%). Right diastolid flow runoff, including the cove late in diastole, resembled left circumflex runoff. Blood flow to the normotensive right (37+/-1.1 ml/min 100(-1) g) and the left (35+/-1.0 ml/min(-1) g) ventricular myocardium indicated equal perfusion of both cardiac walls. Throttling of systolic flow was related directly to the right ventricular systolic pressure level in the dogs with pulmonic stenosis. Retrograde systolic flow occurred in severe right ventricular hypertension. The late diastolic runoff pattern in dogs with pulmonic stenosis appeared the same as for the normotensive dogs. We obtained systolic to diastolic flow ratios of 1/3 the value of normotensive hearts in high and severe pulmonic hypertension. Electrocardiograms and studies of pathology suggested restricted blood flow to the inner layers of the right myocardium in the dogs with severe and high right ventricular hypertension. Normotensive and hypertensive peak hyperemic flow responses were similar, except for an increased magnitude of diastolic flow, with proportionately less systolic flow in hypertensive states.  (+info)

Results of three to 10 year follow up of balloon dilatation of the pulmonary valve. (2/265)

BACKGROUND: The results of immediate and short term follow up of balloon dilatation of the pulmonary valve have been well documented, but there is limited information on long term follow up. OBJECTIVE: To evaluate the results of three to 10 year follow up of balloon dilatation of the pulmonary valve in children and adolescents. SETTING: Tertiary care centre/university hospital. DESIGN: Retrospective study. METHODS AND RESULTS: 85 patients (aged between 1 day and 20 years, mean (SD) 7.0 (6.4) years) underwent balloon dilatation of the pulmonary valve during an 11 year period ending August 1994. There was a resultant reduction in the peak to peak gradient from 87 (38) to 26 (22) mm Hg. Immediate surgical intervention was not required. Residual gradients of 29 (17) mm Hg were measured by catheterisation (n = 47) and echo Doppler (n = 82) at intermediate term follow up (two years). When individual results were scrutinised, nine of 82 patients had restenosis, defined as a peak gradient of 50 mm Hg or more. Seven of these patients underwent repeat balloon dilatation of the pulmonary valve: peak gradients were reduced from 89 (40) to 38 (20) mm Hg. Clinical evaluation and echo Doppler data of 80 patients showed that residual peak instantaneous Doppler gradients were 17 (15) mm Hg at long term follow up (three to 10 years, median seven), with evidence for late restenosis in one patient (1.3%). Surgical intervention was necessary to relieve fixed infundibular stenosis in three patients and supravalvar pulmonary stenosis in one. Repeat balloon dilatation was performed to relieve restenosis in two patients. Actuarial reintervention free rates at one, two, five, and 10 years were 94%, 89%, 88%, and 84%, respectively. Pulmonary valve regurgitation was noted in 70 of 80 patients at late follow up, but neither right ventricular dilatation nor paradoxical interventricular septal motion developed. CONCLUSIONS: The results of late follow up of balloon dilatation of the pulmonary valve are excellent. Repeat balloon dilatation was performed in 11% of patients and surgical intervention for subvalvlar or supravalvar stenosis in 5%. Most patients had mild residual pulmonary regurgitation but right ventricular volume overload was not required. Balloon dilatation is the treatment of choice in the management of moderate to severe stenosis of the pulmonary valve. Further follow up studies should be undertaken to evaluate the significance of residual pulmonary regurgitation.  (+info)

Double outlet right ventricle. Study of 27 cases. (3/265)

Out of 1610 children's hearts with congenital malformations there were 27 specimens showing double outlet right ventricle. Cases with dextrocardia, situs inversus, or l-venticular loop were excluded. Anatomical examination was performed with particular reference to the infundibular region, the great vessels, and the ventricular septum. The commonest associated malformations were ventricular septal defect and pulmonary stenosis. Aortic stenosis was the predominant finding in those cases dying in the neonatal period. An aortic conus was associated with pulmonary stenosis, ventricular septal defect, and d-transposition, a pulmonary conus with ventricular septal defect and a double conus with stenosis of either great vessel. The anterior vessel always had a muscular conus and the posterior vessel was commonly stenotic.  (+info)

The effects of surgically treated pulmonary stenosis on lung growth and cardiopulmonary function in children during rest and exercise. (4/265)

The effects of high pulmonary blood flow and pressure on pulmonary development are well understood, but the effect of low pulmonary flow/pressure is not. Pulmonary stenosis (PS) was therefore used as a model to determine its effect on lung development, which was assessed noninvasively by carbon monoxide transfer at rest and during exercise. One hundred and six control children (55 males, 8-16 yrs) and 11 children with isolated valvar or subvalvar PS surgically corrected > or =10 yrs prior to the study without residual stenosis/regurgitation were evaluated. Measurements of effective pulmonary blood flow, stroke volume, arteriovenous oxygen difference (AVO), transfer factor and transfer constant, alveolar ventilation and anaerobic threshold were performed using a mass spectrometer. Data from the normal children allowed calculation of z-scores for the study group matched for age, sex, pubertal stage and surface area. PS children at rest had a significantly lower forced expired volume in one second, cardiac frequency and transfer constant with a raised oxygen consumption and AVO which persisted on exercise. During exercise, the cardiac frequency was 12 beats x min(-1) slower and AVO 0.017 L greater than controls (p<0.05). A persistently mildly raised effective functional residual capacity (0.2 L x m(-2)) during exercise led to a reduced transfer constant (0.35 mmol x min(-1) x kPa(-1) x L(-1)), although the percentage rise (28%) from rest to peak exercise was normal. The percentage fall in stroke volume from the penultimate exercise stage to peak exercise stage was greater in PS children (24%, 95% confidence interval 11-37) than control children (2.4, -2-10, p<0.005). In conclusion, although the effects are small, pulmonary stenosis does affect cardiopulmonary function after surgery. This needs to be considered when contemplating the timing of treatment.  (+info)

Prenatal diagnosis of right ventricular outflow tract obstruction with intact ventricular septum, and detection of ventriculocoronary connections. (5/265)

OBJECTIVES: To determine the accuracy of prenatal diagnosis of pulmonary atresia and intact ventricular septum (PAIVS), and pulmonary stenosis, including prenatal detection of ventriculocoronary connections, to evaluate heart size during the prenatal period, and to evaluate the outcome. DESIGN AND PATIENTS: Medical records of 20 cases with prenatally diagnosed PAIVS and pulmonary stenosis were reviewed retrospectively. Prenatal and postnatal echocardiography were also reviewed and dimensions of the ventricles and vessels were measured retrespectively. RESULTS: Of 20 prenatal diagnoses (15 PAIVS and five pulmonary stenosis), 16 were confirmed as correct. One critical pulmonary stenosis case had been diagnosed as PAIVS prenatally; three had no confirmation. Eight pregnancies were terminated, three had no active treatment, and nine were treated; all survived. Of 13 assessed with ventriculocoronary connections prenatally, seven were diagnosed correctly (four with, three without ventriculocoronary connections), but one was falsely positive; five had no confirmation. The more prominent hypoplasia of the main pulmonary artery and the tricuspid valve annulus, and the sigmoid shape of the ductus arteriosus, seemed to be associated with the presence of ventriculocoronary connections. CONCLUSIONS: Current prenatal echocardiography can accurately diagnose right ventricular outflow tract obstruction and ventriculocoronary connections. Prenatal detection of this constellation of abnormalities aids in family counselling and decisions on postnatal management.  (+info)

Combined percutaneous atrial septal defect occlusion and pulmonary balloon valvuloplasty in adult patients. (6/265)

Severe pulmonary stenosis in association with a large atrial septal defect is uncommon. When these 2 conditions are present, significant left-to-right shunt is often prevented by the outflow obstruction, which protects the pulmonary bed until adulthood. This report shows our initial experience of percutaneous treatment of both congenital malformations, either staged or combined in the same procedure, in 2 adult patients whose treatments yielded effective atrial septal defect occlusion and right ventricular pressure relief that persisted at mid-term follow-up. Although these opposite procedures (opening and closing) have been applied as isolated methods of treatment, this preliminary experience appears to demonstrate the feasibility and effectiveness of a combined percutaneous treatment.  (+info)

Pulmonary vascular-bronchial interactions: acute reduction in pulmonary blood flow alters lung mechanics. (7/265)

BACKGROUND: Postoperative pulmonary hypertension in children after congenital heart surgery is a risk factor for death and is associated with severe acute changes in both pulmonary vascular resistance and lung mechanics. OBJECTIVE: To examine the impact of changes in pulmonary blood flow on lung mechanics in preoperative children with congenital heart disease, in order to assess the cause-effect relation of pulmonary vascular-bronchial interactions. DESIGN: Prospective, cross sectional study. SETTING: Cardiac catheterisation laboratory, general anaesthesia with mechanical ventilation. INTERVENTIONS: Variation of pulmonary blood flow (Qp) by either balloon occlusion of an atrial septal defect before interventional closure, or by complete occlusion of the pulmonary artery during balloon pulmonary valvuloplasty for pulmonary valve stenosis. MAIN OUTCOME MEASURES: Ventilatory tidal volume (Vt), dynamic respiratory system compliance (Cdyn), respiratory system resistance (Rrs). RESULTS: 28 occlusions were examined in nine patients with atrial septal defect (median age 9.5 years) and 22 in eight patients with pulmonary stenosis (median age 1.2 years). Normalisation of Qp during balloon occlusion of atrial septal defect caused no significant change in airway pressures and Rrs, but there was a small decrease in Vt (mean (SD): 9.61 (0.85) to 9.52 (0.97) ml/kg; p < 0.05) and Cdyn (0.64 (0.11) to 0.59 (0.10) ml/cm H(2)O*kg; p < 0.01). These changes were more pronounced when there was complete cessation of Qp during balloon valvuloplasty in pulmonary stenosis, with a fall in Vt (9.71 (2.95) to 9.32 (2.84) ml/kg; p < 0.05) and Cdyn (0.72 (0.29) to 0.64 (0.26) ml/cm H(2)O*kg; p < 0.001), and there was also an increase in Rrs (25.1 (1. 7) to 28.8 (1.6) cm H(2)O/litre*s; p < 0.01). All these changes exceeded the variability of the baseline measurements more than threefold. CONCLUSIONS: Acute changes in pulmonary blood flow are associated with simultaneous changes in lung mechanics. While these changes are small they may represent a valid model to explain the pathophysiological impact of spontaneous changes in pulmonary blood flow in clinically more critical situations in children with congenital heart disease.  (+info)

Pulmonary stenosis in recipient twins in twin-to-twin transfusion syndrome: report on 3 cases and review of literature. (8/265)

This report describes 3 cases of pulmonary stenosis in the recipient twin in twin-twin transfusion syndrome. Fetal echocardiography showed cardiomegaly, tricuspid valve regurgitation, and increased reverse flow in the inferior vena cava, as signs of congestive heart failure in all 3 cases. We diagnosed 2 cases of pulmonary stenosis by fetal echocardiography prenatally and confirmed our findings in all 3 cases postnatally. Two cases underwent postnatal balloon valvuloplasty to release the pulmonary valvular stenosis in neonatal period. The third one died soon after delivery and autopsy showed a slightly thickened pulmonary valve. One of the cases was diagnosed in the early second trimester (20 weeks of pregnancy), the earliest detection of fetal pulmonary stenosis reported in literature. The presence of high peak velocity of the pulmonary artery at 20 weeks of pregnancy preceded the development of pulmonary stenosis in this case. This supports the hypothesis that alterations in fetal hemodynamics may result in structural cardiac abnormality.  (+info)

Pulmonary Valve Stenosis is a cardiac condition where the pulmonary valve, located between the right ventricle and the pulmonary artery, has a narrowed opening. This stenosis (narrowing) can cause obstruction of blood flow from the right ventricle to the lungs. The narrowing can be caused by a fusion of the valve leaflets, thickened or calcified valve leaflets, or rarely, a dysplastic valve.

The severity of Pulmonary Valve Stenosis is classified based on the gradient pressure across the valve, which is measured during an echocardiogram. A mild stenosis has a gradient of less than 30 mmHg, moderate stenosis has a gradient between 30-59 mmHg, and severe stenosis has a gradient of 60 mmHg or higher.

Mild Pulmonary Valve Stenosis may not require treatment, while more severe cases may need to be treated with balloon valvuloplasty or surgical valve replacement. If left untreated, Pulmonary Valve Stenosis can lead to right ventricular hypertrophy, heart failure, and other complications.

The pulmonary valve, also known as the pulmonic valve, is a semilunar valve located at the exit of the right ventricle of the heart and the beginning of the pulmonary artery. It has three cusps or leaflets that prevent the backflow of blood from the pulmonary artery into the right ventricle during ventricular diastole, ensuring unidirectional flow of blood towards the lungs for oxygenation.

Aortic valve stenosis is a cardiac condition characterized by the narrowing or stiffening of the aortic valve, which separates the left ventricle (the heart's main pumping chamber) from the aorta (the large artery that carries oxygen-rich blood to the rest of the body). This narrowing or stiffening prevents the aortic valve from opening fully, resulting in reduced blood flow from the left ventricle to the aorta and the rest of the body.

The narrowing can be caused by several factors, including congenital heart defects, calcification (hardening) of the aortic valve due to aging, or scarring of the valve due to rheumatic fever or other inflammatory conditions. As a result, the left ventricle must work harder to pump blood through the narrowed valve, which can lead to thickening and enlargement of the left ventricular muscle (left ventricular hypertrophy).

Symptoms of aortic valve stenosis may include chest pain or tightness, shortness of breath, fatigue, dizziness or fainting, and heart palpitations. Severe aortic valve stenosis can lead to serious complications such as heart failure, arrhythmias, or even sudden cardiac death. Treatment options may include medications to manage symptoms, lifestyle changes, or surgical intervention such as aortic valve replacement.

Balloon valvuloplasty is a medical procedure used to treat heart valve stenosis or narrowing. It involves the use of a thin, flexible tube (catheter) with a balloon at its tip, which is guided through a blood vessel to the narrowed heart valve. Once in position, the balloon is inflated to stretch and widen the valve opening, improving blood flow. After the valve is widened, the balloon is deflated and the catheter is removed. This procedure can be performed on various heart valves, including the aortic, mitral, and pulmonary valves.

Pulmonary Valve Insufficiency, also known as Pulmonary Regurgitation, is a cardiac condition in which the pulmonary valve located between the right ventricle and the pulmonary artery does not close properly. This leads to the backward leakage or regurgitation of blood from the pulmonary artery into the right ventricle during diastole, causing an increased volume load on the right ventricle.

The severity of Pulmonary Valve Insufficiency can vary from mild to severe and may be caused by congenital heart defects, infective endocarditis, Marfan syndrome, rheumatic heart disease, or as a result of aging, or following certain cardiac procedures such as pulmonary valvotomy or ventriculostomy.

Mild Pulmonary Valve Insufficiency may not cause any symptoms and may only require periodic monitoring. However, severe Pulmonary Valve Insufficiency can lead to right-sided heart failure, arrhythmias, and other complications if left untreated. Treatment options for Pulmonary Valve Insufficiency include medication, surgical repair or replacement of the pulmonary valve, or a combination of these approaches.

Pulmonary subvalvular stenosis is a rare cardiac condition that refers to the narrowing or obstruction of the pulmonary valve or the outflow tract below it, within the right ventricle of the heart. This results in restricted blood flow from the right ventricle to the pulmonary artery and subsequently to the lungs.

The narrowing can be caused by various factors such as a membranous shelf-like structure (dysplasia), a fibrous ring, or a tunnel-like narrowing of the outflow tract (tunneling). The severity of the stenosis may vary from mild to severe, and symptoms can range from shortness of breath, fatigue, and chest pain to more serious complications like heart failure or arrhythmias.

Diagnosis typically involves imaging tests such as echocardiography, cardiac MRI, or cardiac catheterization. Treatment options depend on the severity of the stenosis and may include monitoring, medications, or invasive procedures such as balloon dilation or surgical repair.

Noonan Syndrome is a genetic disorder that affects various parts of the body and is characterized by distinctive facial features, short stature, heart defects, and developmental delays. It is caused by mutations in genes responsible for regulating cell growth and division. The syndrome is often identified at birth or in early childhood due to its physical manifestations, which may include widely spaced eyes, low-set ears, a short neck, a broad or webbed neck, chest deformities, and pulmonary valve stenosis. Noonan Syndrome affects both sexes and all races equally, with an estimated prevalence of 1 in 1,000 to 1 in 2,500 live births.

Catheterization is a medical procedure in which a catheter (a flexible tube) is inserted into the body to treat various medical conditions or for diagnostic purposes. The specific definition can vary depending on the area of medicine and the particular procedure being discussed. Here are some common types of catheterization:

1. Urinary catheterization: This involves inserting a catheter through the urethra into the bladder to drain urine. It is often performed to manage urinary retention, monitor urine output in critically ill patients, or assist with surgical procedures.
2. Cardiac catheterization: A procedure where a catheter is inserted into a blood vessel, usually in the groin or arm, and guided to the heart. This allows for various diagnostic tests and treatments, such as measuring pressures within the heart chambers, assessing blood flow, or performing angioplasty and stenting of narrowed coronary arteries.
3. Central venous catheterization: A catheter is inserted into a large vein, typically in the neck, chest, or groin, to administer medications, fluids, or nutrition, or to monitor central venous pressure.
4. Peritoneal dialysis catheterization: A catheter is placed into the abdominal cavity for individuals undergoing peritoneal dialysis, a type of kidney replacement therapy.
5. Neurological catheterization: In some cases, a catheter may be inserted into the cerebrospinal fluid space (lumbar puncture) or the brain's ventricular system (ventriculostomy) to diagnose or treat various neurological conditions.

These are just a few examples of catheterization procedures in medicine. The specific definition and purpose will depend on the medical context and the particular organ or body system involved.

The aortic valve is the valve located between the left ventricle (the lower left chamber of the heart) and the aorta (the largest artery in the body, which carries oxygenated blood from the heart to the rest of the body). It is made up of three thin flaps or leaflets that open and close to regulate blood flow. During a heartbeat, the aortic valve opens to allow blood to be pumped out of the left ventricle into the aorta, and then closes to prevent blood from flowing back into the ventricle when it relaxes. Any abnormality or damage to this valve can lead to various cardiovascular conditions such as aortic stenosis, aortic regurgitation, or infective endocarditis.

Congenital heart defects (CHDs) are structural abnormalities in the heart that are present at birth. They can affect any part of the heart's structure, including the walls of the heart, the valves inside the heart, and the major blood vessels that lead to and from the heart.

Congenital heart defects can range from mild to severe and can cause various symptoms depending on the type and severity of the defect. Some common symptoms of CHDs include cyanosis (a bluish tint to the skin, lips, and fingernails), shortness of breath, fatigue, poor feeding, and slow growth in infants and children.

There are many different types of congenital heart defects, including:

1. Septal defects: These are holes in the walls that separate the four chambers of the heart. The two most common septal defects are atrial septal defect (ASD) and ventricular septal defect (VSD).
2. Valve abnormalities: These include narrowed or leaky valves, which can affect blood flow through the heart.
3. Obstruction defects: These occur when blood flow is blocked or restricted due to narrowing or absence of a part of the heart's structure. Examples include pulmonary stenosis and coarctation of the aorta.
4. Cyanotic heart defects: These cause a lack of oxygen in the blood, leading to cyanosis. Examples include tetralogy of Fallot and transposition of the great arteries.

The causes of congenital heart defects are not fully understood, but genetic factors and environmental influences during pregnancy may play a role. Some CHDs can be detected before birth through prenatal testing, while others may not be diagnosed until after birth or later in childhood. Treatment for CHDs may include medication, surgery, or other interventions to improve blood flow and oxygenation of the body's tissues.

Tricuspid valve stenosis is a cardiac condition characterized by the narrowing or stiffening of the tricuspid valve, which is located between the right atrium and right ventricle in the heart. This narrowing or stiffening restricts the normal flow of blood from the right atrium into the right ventricle, causing increased pressure in the right atrium and reduced blood flow to the lungs.

The tricuspid valve typically has three leaflets or cusps that open and close to regulate the flow of blood between the right atrium and right ventricle. In tricuspid valve stenosis, these leaflets become thickened, calcified, or fused together, leading to a reduced opening size and impaired function.

The most common causes of tricuspid valve stenosis include rheumatic heart disease, congenital heart defects, carcinoid syndrome, and infective endocarditis. Symptoms may include fatigue, shortness of breath, swelling in the legs and abdomen, and irregular heartbeats. Treatment options depend on the severity of the condition and underlying causes but may involve medications, surgical repair or replacement of the valve, or catheter-based procedures.

Mitral valve stenosis is a cardiac condition characterized by the narrowing or stiffening of the mitral valve, one of the four heart valves that regulate blood flow through the heart. This narrowing prevents the mitral valve from fully opening during diastole (relaxation phase of the heart cycle), leading to restricted flow of oxygenated blood from the left atrium into the left ventricle.

The narrowing or stiffening of the mitral valve can be caused by various factors, such as rheumatic heart disease, congenital heart defects, aging, or calcium deposits on the valve leaflets. As a result, the left atrium has to work harder to pump blood into the left ventricle, causing increased pressure in the left atrium and pulmonary veins. This can lead to symptoms such as shortness of breath, fatigue, coughing, and heart palpitations.

Mitral valve stenosis is typically diagnosed through a combination of medical history, physical examination, and imaging techniques like echocardiography or cardiac catheterization. Treatment options may include medications to manage symptoms and prevent complications, as well as surgical interventions such as mitral valve repair or replacement to alleviate the stenosis and improve heart function.

Heart valve prosthesis implantation is a surgical procedure where an artificial heart valve is inserted to replace a damaged or malfunctioning native heart valve. This can be necessary for patients with valvular heart disease, including stenosis (narrowing) or regurgitation (leaking), who do not respond to medical management and are at risk of heart failure or other complications.

There are two main types of artificial heart valves used in prosthesis implantation: mechanical valves and biological valves. Mechanical valves are made of synthetic materials, such as carbon and metal, and can last a long time but require lifelong anticoagulation therapy to prevent blood clots from forming. Biological valves, on the other hand, are made from animal or human tissue and typically do not require anticoagulation therapy but may have a limited lifespan and may need to be replaced in the future.

The decision to undergo heart valve prosthesis implantation is based on several factors, including the patient's age, overall health, type and severity of valvular disease, and personal preferences. The procedure can be performed through traditional open-heart surgery or minimally invasive techniques, such as robotic-assisted surgery or transcatheter aortic valve replacement (TAVR). Recovery time varies depending on the approach used and individual patient factors.

Heart valve diseases are a group of conditions that affect the function of one or more of the heart's four valves (tricuspid, pulmonic, mitral, and aortic). These valves are responsible for controlling the direction and flow of blood through the heart. Heart valve diseases can cause the valves to become narrowed (stenosis), leaky (regurgitation or insufficiency), or improperly closed (prolapse), leading to disrupted blood flow within the heart and potentially causing symptoms such as shortness of breath, fatigue, chest pain, and irregular heart rhythms. The causes of heart valve diseases can include congenital defects, age-related degenerative changes, infections, rheumatic heart disease, and high blood pressure. Treatment options may include medications, surgical repair or replacement of the affected valve(s), or transcatheter procedures.

Tetralogy of Fallot is a congenital heart defect that consists of four components: ventricular septal defect (a hole between the lower chambers of the heart), pulmonary stenosis (narrowing of the pulmonary valve and outflow tract), overriding aorta (the aorta lies directly over the ventricular septal defect), and right ventricular hypertrophy (thickening of the right ventricular muscle). This condition results in insufficient oxygenation of the blood, leading to cyanosis (bluish discoloration of the skin and mucous membranes) and other symptoms such as shortness of breath, fatigue, and poor growth. Treatment typically involves surgical repair, which is usually performed during infancy or early childhood.

The mitral valve, also known as the bicuspid valve, is a two-leaflet valve located between the left atrium and left ventricle in the heart. Its function is to ensure unidirectional flow of blood from the left atrium into the left ventricle during the cardiac cycle. The mitral valve consists of two leaflets (anterior and posterior), the chordae tendineae, papillary muscles, and the left atrial and ventricular myocardium. Dysfunction of the mitral valve can lead to various heart conditions such as mitral regurgitation or mitral stenosis.

A newborn infant is a baby who is within the first 28 days of life. This period is also referred to as the neonatal period. Newborns require specialized care and attention due to their immature bodily systems and increased vulnerability to various health issues. They are closely monitored for signs of well-being, growth, and development during this critical time.

A heart valve prosthesis is a medical device that is implanted in the heart to replace a damaged or malfunctioning heart valve. The prosthetic valve can be made of biological tissue (such as from a pig or cow) or artificial materials (such as carbon or polyester). Its function is to allow for the proper directional flow of blood through the heart, opening and closing with each heartbeat to prevent backflow of blood.

There are several types of heart valve prostheses, including:

1. Mechanical valves: These are made entirely of artificial materials and have a longer lifespan than biological valves. However, they require the patient to take blood-thinning medication for the rest of their life to prevent blood clots from forming on the valve.
2. Bioprosthetic valves: These are made of biological tissue and typically last 10-15 years before needing replacement. They do not require the patient to take blood-thinning medication, but there is a higher risk of reoperation due to degeneration of the tissue over time.
3. Homografts or allografts: These are human heart valves that have been donated and preserved for transplantation. They have similar longevity to bioprosthetic valves and do not require blood-thinning medication.
4. Autografts: In this case, the patient's own pulmonary valve is removed and used to replace the damaged aortic valve. This procedure is called the Ross procedure and has excellent long-term results, but it requires advanced surgical skills and is not widely available.

The choice of heart valve prosthesis depends on various factors, including the patient's age, overall health, lifestyle, and personal preferences.

The tricuspid valve is the heart valve that separates the right atrium and the right ventricle in the human heart. It is called "tricuspid" because it has three leaflets or cusps, which are also referred to as flaps or segments. These cusps are named anterior, posterior, and septal. The tricuspid valve's function is to prevent the backflow of blood from the ventricle into the atrium during systole, ensuring unidirectional flow of blood through the heart.

Aortic valve insufficiency, also known as aortic regurgitation or aortic incompetence, is a cardiac condition in which the aortic valve does not close properly during the contraction phase of the heart cycle. This allows blood to flow back into the left ventricle from the aorta, instead of being pumped out to the rest of the body. As a result, the left ventricle must work harder to maintain adequate cardiac output, which can lead to left ventricular enlargement and heart failure over time if left untreated.

The aortic valve is a trileaflet valve that lies between the left ventricle and the aorta. During systole (the contraction phase of the heart cycle), the aortic valve opens to allow blood to be pumped out of the left ventricle into the aorta and then distributed to the rest of the body. During diastole (the relaxation phase of the heart cycle), the aortic valve closes to prevent blood from flowing back into the left ventricle.

Aortic valve insufficiency can be caused by various conditions, including congenital heart defects, infective endocarditis, rheumatic heart disease, Marfan syndrome, and trauma. Symptoms of aortic valve insufficiency may include shortness of breath, fatigue, chest pain, palpitations, and edema (swelling). Diagnosis is typically made through physical examination, echocardiography, and other imaging studies. Treatment options depend on the severity of the condition and may include medication, surgery to repair or replace the aortic valve, or a combination of both.

Cardiac catheterization is a medical procedure used to diagnose and treat cardiovascular conditions. In this procedure, a thin, flexible tube called a catheter is inserted into a blood vessel in the arm or leg and threaded up to the heart. The catheter can be used to perform various diagnostic tests, such as measuring the pressure inside the heart chambers and assessing the function of the heart valves.

Cardiac catheterization can also be used to treat certain cardiovascular conditions, such as narrowed or blocked arteries. In these cases, a balloon or stent may be inserted through the catheter to open up the blood vessel and improve blood flow. This procedure is known as angioplasty or percutaneous coronary intervention (PCI).

Cardiac catheterization is typically performed in a hospital cardiac catheterization laboratory by a team of healthcare professionals, including cardiologists, radiologists, and nurses. The procedure may be done under local anesthesia with sedation or general anesthesia, depending on the individual patient's needs and preferences.

Overall, cardiac catheterization is a valuable tool in the diagnosis and treatment of various heart conditions, and it can help improve symptoms, reduce complications, and prolong life for many patients.

Pulmonary atresia is a congenital heart defect where the pulmonary valve, which controls blood flow from the right ventricle to the lungs, doesn't form properly and instead of being open, there is a membranous obstruction or atresia. This results in an absence of communication between the right ventricle and the pulmonary artery.

The right ventricle is often small and underdeveloped due to this condition, and blood flow to the lungs can be severely limited. In some cases, there may be additional heart defects present, such as a ventricular septal defect (a hole between the two lower chambers of the heart) or patent ductus arteriosus (an abnormal connection between the pulmonary artery and the aorta).

Pulmonary atresia can range from mild to severe, and treatment options depend on the specific anatomy and physiology of each individual case. Treatment may include medications, catheter-based procedures, or open-heart surgery, and in some cases, a heart transplant may be necessary.

A bioprosthesis is a type of medical implant that is made from biological materials, such as heart valves or tendons taken from animals (xenografts) or humans (allografts). These materials are processed and sterilized to be used in surgical procedures to replace damaged or diseased tissues in the body.

Bioprosthetic implants are often used in cardiac surgery, such as heart valve replacement, because they are less likely to cause an immune response than synthetic materials. However, they may have a limited lifespan due to calcification and degeneration of the biological tissue over time. Therefore, bioprosthetic implants may need to be replaced after several years.

Bioprostheses can also be used in other types of surgical procedures, such as ligament or tendon repair, where natural tissue is needed to restore function and mobility. These prostheses are designed to mimic the properties of native tissues and provide a more physiological solution than synthetic materials.

Ventricular outflow obstruction is a term used in cardiology to describe a condition where there is an obstruction or narrowing in the flow of blood as it exits the heart's ventricles (the lower chambers of the heart). This obstruction can occur due to various reasons such as congenital heart defects, hypertrophic cardiomyopathy, or calcification of the aortic valve.

In a normal heart, the left ventricle pumps oxygenated blood into the aorta through the aortic valve, and the right ventricle pumps deoxygenated blood into the pulmonary artery through the pulmonic valve. Any obstruction in these outflow tracts can lead to increased pressure within the ventricles, which can result in various symptoms such as shortness of breath, chest pain, dizziness, or fatigue.

The severity of the obstruction and the resulting symptoms can vary depending on the location and extent of the narrowing. Treatment options may include medications, surgical procedures, or catheter-based interventions to alleviate the obstruction and improve blood flow.

Carotid stenosis is a medical condition that refers to the narrowing or constriction of the lumen (inner space) of the carotid artery. The carotid arteries are major blood vessels that supply oxygenated blood to the head and neck. Carotid stenosis usually results from the buildup of plaque, made up of fat, cholesterol, calcium, and other substances, on the inner walls of the artery. This process is called atherosclerosis.

As the plaque accumulates, it causes the artery to narrow, reducing blood flow to the brain. Severe carotid stenosis can increase the risk of stroke, as a clot or debris from the plaque can break off and travel to the brain, blocking a smaller blood vessel and causing tissue damage or death.

Carotid stenosis is typically diagnosed through imaging tests such as ultrasound, CT angiography, or MRI angiography. Treatment options may include lifestyle modifications (such as quitting smoking, controlling blood pressure, and managing cholesterol levels), medications to reduce the risk of clots, or surgical procedures like endarterectomy or stenting to remove or bypass the blockage.

Echocardiography is a medical procedure that uses sound waves to produce detailed images of the heart's structure, function, and motion. It is a non-invasive test that can help diagnose various heart conditions, such as valve problems, heart muscle damage, blood clots, and congenital heart defects.

During an echocardiogram, a transducer (a device that sends and receives sound waves) is placed on the chest or passed through the esophagus to obtain images of the heart. The sound waves produced by the transducer bounce off the heart structures and return to the transducer, which then converts them into electrical signals that are processed to create images of the heart.

There are several types of echocardiograms, including:

* Transthoracic echocardiography (TTE): This is the most common type of echocardiogram and involves placing the transducer on the chest.
* Transesophageal echocardiography (TEE): This type of echocardiogram involves passing a specialized transducer through the esophagus to obtain images of the heart from a closer proximity.
* Stress echocardiography: This type of echocardiogram is performed during exercise or medication-induced stress to assess how the heart functions under stress.
* Doppler echocardiography: This type of echocardiogram uses sound waves to measure blood flow and velocity in the heart and blood vessels.

Echocardiography is a valuable tool for diagnosing and managing various heart conditions, as it provides detailed information about the structure and function of the heart. It is generally safe, non-invasive, and painless, making it a popular choice for doctors and patients alike.

Inbreeding in animals refers to the mating of closely related individuals, such as siblings or offspring of siblings, over multiple generations. An inbred strain is a population of animals produced by this repeated mating of close relatives, which results in a high degree of genetic similarity among members of the strain.

Inbreeding can lead to an increase in homozygosity, where identical alleles are present at corresponding loci on both chromosomes. This can result in the expression of recessive traits, some of which may be deleterious or even lethal. However, inbred strains also have advantages, such as reduced genetic variability, which makes them useful for scientific research.

Inbred strains are commonly used in biomedical research, including genetics, immunology, and behavioral studies. They provide a consistent and controlled genetic background, allowing researchers to study the effects of specific genes or environmental factors with greater precision. Additionally, inbred strains can be crossed with other strains to create hybrid populations, which can be used to map quantitative trait loci (QTL) and identify genes associated with complex traits.

Doppler echocardiography is a type of ultrasound test that uses high-frequency sound waves to produce detailed images of the heart and its blood vessels. It measures the direction and speed of blood flow in the heart and major blood vessels leading to and from the heart. This helps to evaluate various conditions such as valve problems, congenital heart defects, and heart muscle diseases.

In Doppler echocardiography, a small handheld device called a transducer is placed on the chest, which emits sound waves that bounce off the heart and blood vessels. The transducer then picks up the returning echoes, which are processed by a computer to create moving images of the heart.

The Doppler effect is used to measure the speed and direction of blood flow. This occurs when the frequency of the sound waves changes as they bounce off moving objects, such as red blood cells. By analyzing these changes, the ultrasound machine can calculate the velocity and direction of blood flow in different parts of the heart.

Doppler echocardiography is a non-invasive test that does not require any needles or dyes. It is generally safe and painless, although patients may experience some discomfort from the pressure applied by the transducer on the chest. The test usually takes about 30 to 60 minutes to complete.

A ventricular septal defect (VSD) is a type of congenital heart defect that involves a hole in the wall separating the two lower chambers of the heart, the ventricles. This defect allows oxygenated blood from the left ventricle to mix with deoxygenated blood in the right ventricle, leading to inefficient oxygenation of the body's tissues. The size and location of the hole can vary, and symptoms may range from none to severe, depending on the size of the defect and the amount of blood that is able to shunt between the ventricles. Small VSDs may close on their own over time, while larger defects usually require medical intervention, such as medication or surgery, to prevent complications like pulmonary hypertension and heart failure.

Calcinosis is a medical condition characterized by the abnormal deposit of calcium salts in various tissues of the body, commonly under the skin or in the muscles and tendons. These calcium deposits can form hard lumps or nodules that can cause pain, inflammation, and restricted mobility. Calcinosis can occur as a complication of other medical conditions, such as autoimmune disorders, kidney disease, and hypercalcemia (high levels of calcium in the blood). In some cases, the cause of calcinosis may be unknown. Treatment for calcinosis depends on the underlying cause and may include medications to manage calcium levels, physical therapy, and surgical removal of large deposits.

Coronary stenosis is a medical condition that refers to the narrowing of the coronary arteries, which supply oxygen-rich blood to the heart muscle. This narrowing is typically caused by the buildup of plaque, made up of fat, cholesterol, and other substances, on the inner walls of the arteries. Over time, as the plaque hardens and calcifies, it can cause the artery to become narrowed or blocked, reducing blood flow to the heart muscle.

Coronary stenosis can lead to various symptoms and complications, including chest pain (angina), shortness of breath, irregular heart rhythms (arrhythmias), and heart attacks. Treatment options for coronary stenosis may include lifestyle changes, medications, medical procedures such as angioplasty or bypass surgery, or a combination of these approaches. Regular check-ups and diagnostic tests, such as stress testing or coronary angiography, can help detect and monitor coronary stenosis over time.

Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.

Carcinoid heart disease is a rare complication that occurs in some people with carcinoid tumors, which are slow-growing tumors that typically originate in the digestive tract. These tumors can release hormones and other substances into the bloodstream, which can cause various symptoms. In carcinoid heart disease, these substances cause fibrous plaques to form on the heart valves, leading to thickening and stiffening of the valve leaflets. This can result in leakage or obstruction of the heart valves, causing symptoms such as shortness of breath, fatigue, and fluid retention. Carcinoid heart disease is most commonly affects the tricuspid and pulmonary valves, which are located on the right side of the heart. If left untreated, carcinoid heart disease can lead to serious complications, including heart failure. Treatment typically involves a combination of medications to manage symptoms and control the growth of the tumor, as well as surgery to repair or replace damaged heart valves.

Spinal stenosis is a narrowing of the spinal canal or the neural foramina (the openings through which nerves exit the spinal column), typically in the lower back (lumbar) or neck (cervical) regions. This can put pressure on the spinal cord and/or nerve roots, causing pain, numbness, tingling, or weakness in the affected areas, often in the legs, arms, or hands. It's most commonly caused by age-related wear and tear, but can also be due to degenerative changes, herniated discs, tumors, or spinal injuries.

Prosthesis design is a specialized field in medical device technology that involves creating and developing artificial substitutes to replace a missing body part, such as a limb, tooth, eye, or internal organ. The design process typically includes several stages: assessment of the patient's needs, selection of appropriate materials, creation of a prototype, testing and refinement, and final fabrication and fitting of the prosthesis.

The goal of prosthesis design is to create a device that functions as closely as possible to the natural body part it replaces, while also being comfortable, durable, and aesthetically pleasing for the patient. The design process may involve collaboration between medical professionals, engineers, and designers, and may take into account factors such as the patient's age, lifestyle, occupation, and overall health.

Prosthesis design can be highly complex, particularly for advanced devices such as robotic limbs or implantable organs. These devices often require sophisticated sensors, actuators, and control systems to mimic the natural functions of the body part they replace. As a result, prosthesis design is an active area of research and development in the medical field, with ongoing efforts to improve the functionality, comfort, and affordability of these devices for patients.

Tracheal stenosis is a medical condition characterized by the abnormal narrowing of the trachea (windpipe), which can lead to difficulty breathing. This narrowing can be caused by various factors such as inflammation, scarring, or the growth of abnormal tissue in the airway. Symptoms may include wheezing, coughing, shortness of breath, and chest discomfort, particularly during physical activity. Treatment options for tracheal stenosis depend on the severity and underlying cause of the condition and may include medications, bronchodilators, corticosteroids, or surgical interventions such as laser surgery, stent placement, or tracheal reconstruction.

Cardiac valve annuloplasty is a surgical procedure that involves repairing and reinforcing the ring-like structure (annulus) surrounding the heart valves, primarily the mitral or tricuspid valves. This procedure is often performed to correct valve leaks or regurgitation caused by various conditions such as valve disease or dilated cardiomyopathy.

During the annuloplasty procedure, the surgeon typically uses an artificial ring-like device (annuloplasty ring) made of fabric, metal, or a combination of both to reshape and stabilize the damaged annulus. The ring is sewn in place, reducing the size of the valve opening and helping the valve leaflets to coapt properly, thereby preventing valve leaks and improving heart function.

Annuloplasty can be performed as a standalone procedure or in combination with other cardiac surgeries such as valve replacement or repair. The specific technique and approach may vary depending on the individual patient's needs and the surgeon's preference.

A heart murmur is an abnormal sound heard during a heartbeat, which is caused by turbulent blood flow through the heart. It is often described as a blowing, whooshing, or rasping noise. Heart murmurs can be innocent (harmless and not associated with any heart disease) or pathological (indicating an underlying heart condition). They are typically detected during routine physical examinations using a stethoscope. The classification of heart murmurs includes systolic, diastolic, continuous, and functional murmurs, based on the timing and auscultatory location. Various heart conditions, such as valvular disorders, congenital heart defects, or infections, can cause pathological heart murmurs. Further evaluation with diagnostic tests like echocardiography is often required to determine the underlying cause and appropriate treatment.

Gastroschisis is a congenital abdominal wall defect, characterized by an opening, usually to the right of the umbilical cord, through which the abdominal organs such as the intestines protrude. It's typically not covered by a sac or membrane. The exact cause of gastroschisis is unknown, but it's thought to be related to disrupted blood flow in the area where the abdominal wall develops during pregnancy. This condition is usually detected prenatally through ultrasound and requires surgical repair shortly after birth.

Congenital abnormalities, also known as birth defects, are structural or functional anomalies that are present at birth. These abnormalities can develop at any point during fetal development, and they can affect any part of the body. They can be caused by genetic factors, environmental influences, or a combination of both.

Congenital abnormalities can range from mild to severe and may include structural defects such as heart defects, neural tube defects, and cleft lip and palate, as well as functional defects such as intellectual disabilities and sensory impairments. Some congenital abnormalities may be visible at birth, while others may not become apparent until later in life.

In some cases, congenital abnormalities may be detected through prenatal testing, such as ultrasound or amniocentesis. In other cases, they may not be diagnosed until after the baby is born. Treatment for congenital abnormalities varies depending on the type and severity of the defect, and may include surgery, therapy, medication, or a combination of these approaches.

Hypospadias is a congenital condition in males where the urethral opening (meatus), which is the end of the urethra through which urine exits, is not located at the tip of the penis but instead appears on the underside of the penis. The severity of hypospadias can vary, with some cases having the meatus located closer to the tip and others further down on the shaft or even at the scrotum or perineum (the area between the scrotum and the anus). This condition affects about 1 in every 200-250 male newborns. The exact cause of hypospadias is not fully understood, but it's believed to be a combination of genetic and environmental factors. Surgical correction is usually recommended during infancy or early childhood to prevent complications such as difficulty urinating while standing, problems with sexual function, and psychological issues related to body image.

"Drug-induced abnormalities" refer to physical or physiological changes that occur as a result of taking medication or drugs. These abnormalities can affect various organs and systems in the body and can range from minor symptoms, such as nausea or dizziness, to more serious conditions, such as liver damage or heart rhythm disturbances.

Drug-induced abnormalities can occur for several reasons, including:

1. Direct toxicity: Some drugs can directly damage cells and tissues in the body, leading to abnormalities.
2. Altered metabolism: Drugs can interfere with normal metabolic processes in the body, leading to the accumulation of harmful substances or the depletion of essential nutrients.
3. Hormonal imbalances: Some drugs can affect hormone levels in the body, leading to abnormalities.
4. Allergic reactions: Some people may have allergic reactions to certain drugs, which can cause a range of symptoms, including rashes, swelling, and difficulty breathing.
5. Interactions with other drugs: Taking multiple medications or drugs at the same time can increase the risk of drug-induced abnormalities.

It is important for healthcare providers to monitor patients closely for signs of drug-induced abnormalities and to adjust medication dosages or switch to alternative treatments as necessary. Patients should also inform their healthcare providers of any symptoms they experience while taking medication, as these may be related to drug-induced abnormalities.

Neural Tube Defects (NTDs) are a group of birth defects that affect the brain, spine, or spinal cord. They occur when the neural tube, which forms the early brain and spinal cord of the embryo, does not close properly during fetal development. This can result in various conditions such as:

1. Anencephaly: a severe defect where most of the brain and skull are missing. Infants with anencephaly are usually stillborn or die shortly after birth.
2. Spina bifida: a condition where the spine does not close properly, leaving a portion of the spinal cord and nerves exposed. This can result in various neurological problems, including paralysis, bladder and bowel dysfunction, and hydrocephalus (fluid buildup in the brain).
3. Encephalocele: a condition where the skull does not close properly, allowing the brain to protrude through an opening in the skull. This can result in various neurological problems, including developmental delays, vision and hearing impairments, and seizures.

NTDs are thought to be caused by a combination of genetic and environmental factors, such as folic acid deficiency, obesity, diabetes, and exposure to certain medications during pregnancy. Folic acid supplementation before and during early pregnancy has been shown to reduce the risk of NTDs.

"Maternal exposure" is a medical term that refers to the contact or interaction of a pregnant woman with various environmental factors, such as chemicals, radiation, infectious agents, or physical environments, which could potentially have an impact on the developing fetus. This exposure can occur through different routes, including inhalation, ingestion, dermal contact, or even transplacentally. The effects of maternal exposure on the fetus can vary widely depending on the type, duration, and intensity of the exposure, as well as the stage of pregnancy at which it occurs. It is important to monitor and minimize maternal exposure to potentially harmful substances or environments during pregnancy to ensure the best possible outcomes for both the mother and developing fetus.

Pregnancy is a physiological state or condition where a fertilized egg (zygote) successfully implants and grows in the uterus of a woman, leading to the development of an embryo and finally a fetus. This process typically spans approximately 40 weeks, divided into three trimesters, and culminates in childbirth. Throughout this period, numerous hormonal and physical changes occur to support the growing offspring, including uterine enlargement, breast development, and various maternal adaptations to ensure the fetus's optimal growth and well-being.

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... the pulmonary valve may be surgically replaced. Pulmonary valve stenosis Booker, Peter D. (2005). Pediatric cardiac anesthesia ... "Pulmonary Valve Disease. About Pulmonary valve disease , Patient". Patient. Retrieved 2015-08-29. McGlothlin, edited by Michael ... Pulmonary (or pulmonic) insufficiency (or incompetence, or regurgitation) is a condition in which the pulmonary valve is ... "Problem: Pulmonary Valve Regurgitation". www.heart.org. Retrieved 2015-08-29. Scholia has a topic profile for Pulmonary ...
Pulmonary valve stenosis is a crescendo-decrescendo systolic murmur. One can hear it best at the left upper sternal border. It ... Stenosis of Bicuspid aortic valve is like the aortic valve stenosis heart murmur. But, one may hear a systolic ejection click ... Pulmonary stenosis sometimes radiates to the left clavicle. Tricuspid valve regurgitation is a holosystolic murmur. It presents ... Defects may be due to narrowing of one or more valves (stenosis), backflow of blood, through a leaky valve (regurgitation), or ...
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Pulmonary, or pulmonic stenosis is an often congenital narrowing of the pulmonary valve; it can be present in ... Ali Khan, M.; Al-Yousef, S.; Huhta, J.; Bricker, J.; Mullins, C.; Sawyer, W. (May 1989). "Critical pulmonary valve stenosis in ... pulmonary stenosis (an obstruction of blood-flow from the right ventricle of the heart to the pulmonary artery) with associated ... Brachydactyly of the distal phalanges, sensorineural deafness and pulmonary stenosis are common with Keutel syndrome. In Muenke ...
Heart conditions in the Sussex Spaniel can include pulmonary valve stenosis, which is the most common of the congenital heart ... It is actually a combination of up to four conditions, including the previously mentioned pulmonary valve stenosis, with a ... Essentially, in an animal with this condition, the pulmonary valve is improperly formed which causes the heart to work much ... "Pulmonic Stenosis: The Most Common Congenital Heart Defect". TerrificPets.com. Retrieved 2009-11-23. "The American ...
Other structural defects which lead to RVH include tetralogy of Fallot, ventricular septal defects, pulmonary valve stenosis, ... Mechanical valve has greater durability, but requires anti-coagulation to reduce the risk of thrombosis. Treatment of pulmonary ... Surgical options include either: replacement of the valve or repair of the valve (termed annuloplasty). When it comes to ... Common causes of PH include chronic obstructive pulmonary disease (COPD), pulmonary embolism, and other restrictive lung ...
Pulmonary wedge pressure will overestimate left ventricle pressure in people with mitral valve stenosis, pulmonary hypertension ... "CV Physiology , Pulmonary Capillary Wedge Pressure". www.cvphysiology.com. Retrieved 2019-10-06. "Pulmonary: Heart Failure". ... "Pulmonary Artery Wedge Pressure • LITFL • CCC Equipment". Life in the Fast Lane • LITFL • Medical Blog. 2019-01-04. Retrieved ... When both the heart and lungs are healthy, pulmonary wedge pressure is equal to left ventricle diastolic pressure and can be ...
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... bicuspid aortic valve, mild pulmonary stenosis etc. Patients who have other major heart problems that require operations are ... Gallo M, Rizzati F, Padalino M, Stellin G (2016). "Anomalous origin of right coronary artery from pulmonary artery with ... This anomalous coronary artery often takes an interarterial (between the aorta and pulmonary artery), intraconal (within the ... Anomalous origin of the right coronary artery originating from the pulmonary trunk (ARCAPA) is a rare but potentially fatal ...
... this same murmur was later discovered to be caused by pulmonary valve stenosis. Like his sister, he also had whorls and loops ...
... if there is no pulmonary valve stenosis, a pulmonary valve banding is necessary to prevent pulmonary hypertension and the ... Both atria communicate with the ventricle by a single atrio-ventricular valve. There is a big shunt left-right with a quickly ... The goal of all of these is separating the pulmonary and the systemic circulation. Usually, DILV is associated with other ... Shunt between superior vena cava and distal right pulmonary artery report of a clinical application. N Engl J Med 259: 117, ...
... aortic and pulmonary valve stenosis or tetralogy of fallot. The heart valves are formed. Defects in this process are known as ... The right side of the atrial canal will become the tricuspid valve and the left will become the bicuspid valve. Defects in ... The endocardial cushion serves as a makeshift valve until then. The primitive atrium is divided in two by joining of several ... This will end dividing the aorta from the pulmonary trunk. Defects in this process is known as aortopulmonary septal defect, ...
... or the pulmonary artery. Pulmonary atresia Pulmonary valve stenosis Hypoplastic right heart syndrome Tetralogy of Fallot A left ... Aortic valve stenosis is the most common cause of LVOTO. Aortic valve stenosis means the aortic valve has narrowed and is not ... of patients with aortic valve stenosis have a congenital heart abnormality called a bicuspid aortic valve. The aortic valve is ... Aortic valve stenosis Supravalvar aortic stenosis Coarctation of the aorta Hypoplastic left heart syndrome Hypertrophic ...
... she noticed that children with a rare type of heart defect called pulmonary valve stenosis often had a characteristic physical ...
Pulmonary stenosis (a narrowing of the pulmonary valve) Aortic stenosis Coarctation of the aorta Treatment of this condition ...
Valvular heart disease Aortic insufficiency Mitral stenosis Tricuspid valve stenosis Pulmonary valve stenosis Mitral ... Tricuspid atresia Interrupted aortic arch Coarctation of aorta Pulmonary atresia (PA) Pulmonary stenosis (critical) Atrial ... Angina Acute coronary syndrome Anomic aphasia Aortic dissection Aortic regurgitation Aortic stenosis Apoplexy Apraxia ... Total anomalous pulmonary venous connection Hypoplastic left heart syndrome (HLHS) Transposition of the great arteries (d-TGA) ...
London operated on a Tetralogy of Fallot patient with pulmonary stenosis and successfully divided the stenosed pulmonary valve ... Also in 1948, four surgeons carried out successful operations for mitral valve stenosis resulting from rheumatic fever. Horace ... Henry Souttar operated successfully on a young woman with mitral valve stenosis. He made an opening in the appendage of the ... used a specially designed dilator in three cases of pulmonary stenosis. Later that year, he designed a punch to resect a ...
Hospital operated on a Fallot's Tetralogy patient with pulmonary stenosis and successfully divided the stenosed pulmonary valve ... "The surgical treatment of malformations of the heart in which there is pulmonary stenosis or pulmonary atresia". JAMA. 128: 189 ... In 1925 operations on the heart valves were unknown. Henry Souttar operated successfully on a young woman with mitral stenosis ... used a specially designed dilator in three cases of pulmonary stenosis. Later in 1948 he designed a punch to resect the ...
Hospital operated on a Fallot's Tetralogy patient with pulmonary stenosis and successfully divided the stenosed pulmonary valve ... In 1948, Brock, probably unaware of Sellor's work, used a specially designed dilator in three cases of pulmonary stenosis. ... The Anatomy of Congenital Pulmonary Stenosis (Cassell & Co.: London, 1957); John Keats and Joseph Severn, the tragedy of the ... Also in 1948 he was one of four surgeons who carried out successful operations for mitral stenosis resulting from rheumatic ...
Pulmonary valve diseases are the least common heart valve disease in adults. Pulmonary valve stenosis is often the result of ... one of which is stenosis of the pulmonary valve. Ebstein's anomaly is an abnormality of the tricuspid valve, and its presence ... It may also be secondary to severe pulmonary hypertension. Tricuspid valve stenosis without co-occurrent regurgitation is ... Aortic stenosis due to calcification of tricuspid aortic valve with age comprises >50% of the disease. Aortic stenosis due to ...
This compound has also been used as a treatment for aortic valve stenosis, oesophageal varices, myocardial infarction, ... Costard-Jäckle A, Fowler MB (January 1992). "Influence of preoperative pulmonary artery pressure on mortality after heart ... Knapp E, Gmeiner R (February 1977). "Reduction of pulmonary hypertension by nitroprusside". International Journal of Clinical ... sodium before nitroprusside for the pulmonary hypertension reversibility test before cardiac transplantation". Arquivos ...
Both stenosis of the pulmonary artery and pulmonary valve stenosis are forms of pulmonic stenosis (nonvalvular and valvular, ... Pulmonary valve stenosis (PVS) is a heart valve disorder. Blood going from the heart to the lungs goes through the pulmonary ... In terms of treatment for pulmonary valve stenosis, valve replacement or surgical repair (depending upon whether the stenosis ... are used for valve replacement), in adults metal valves can be used. The epidemiology of pulmonary valve stenosis can be summed ...
Pulmonary valve stenosis is a rare, potentially serious cardiac condition. Learn how it affects the heart and how its treated. ... Pulmonary valve stenosis is when the pulmonary valve does not open properly or wide enough. Its a very rare disorder thats ... Doctors dont know the exact cause of pulmonary valve stenosis. The pulmonary valve in a fetus may fail to develop properly ... The pulmonary valve is located between the right ventricle and the pulmonary artery. The valve acts as a doorway that lets ...
Know the symptoms of this type of valve disease and how its treated. ... When the valve between the heart and lungs is narrowed, blood flow slows. ... Pulmonary stenosis. In pulmonary stenosis, the pulmonary valve is narrowed. The greater the narrowing, the harder the lower ... Pulmonary valve stenosis ranges from mild to severe. Some people with mild pulmonary valve stenosis dont have symptoms. They ...
The pulmonary valve controls blood flow between the heart and the lungs. In pulmonary valve stenosis, the valve narrows, ... the valve does not close completely, allowing blood to flow backward into the heart. Pulmonary valve stenosis can cause the ... Pulmonary valve stenosis most often occurs as a result of a congenital defect (present from birth), but can also be caused by ... Pulmonary valve regurgitation may occur as a result of a number of conditions, including endocarditis and pulmonary ...
Learn more about Pulmonary Valve Stenosis from the Interventional Cardiology Program at UPMC Children's. ... What Is Pulmonary Valve Stenosis?. Its a condition where the pulmonary valve is tight, so theres less space for the blood to ... Pulmonary Valve Stenosis. Valves are structures in the heart that prevent blood from leaking backward. They have flaps or ... Pulmonary valve stenosis can occur when the flaps are very thick or dont open the whole way. This causes the heart to work ...
... : Harrisons Story. 1st August 2019. in Your StoriesPulmonary Valve Stenosis ... pulmonary atresia (6) pulmonary stenosis (2) Pulmonary Valve Stenosis (2) research (1) shones complex (1) sonographers (2) ... Pulmonary Stenosis: Zareenahs Story. 6th May 2020. in Your StoriesASD Pulmonary Valve Stenosis VSD ... Zareenahs heart condition, pulmonary stenosis, was diagnosed at her mum, Homairas 20 week scan. After she was born, doctors ...
Pulmonary valve stenosis is the term describing a narrowing in the opening of the pulmonary valve. Learn more from Boston ... What is pulmonary valve stenosis?. Pulmonary valve stenosis is the term describing a narrowing in the opening of the pulmonary ... What are the causes of pulmonary valve stenosis?. Pulmonary valve stenosis occurs due to improper development of the pulmonary ... Pulmonary Valve Stenosis , Symptoms & Causes. What are the symptoms of pulmonary valve stenosis?. Children with mild to ...
Pulmonary Valve Stenosis in Children - Learn about the causes, symptoms, diagnosis & treatment from the MSD Manuals - Medical ... Symptoms of Pulmonary Valve Stenosis in Children Most children with pulmonary valve stenosis have no symptoms. Severe pulmonary ... Pulmonary valve stenosis is a narrowing of the pulmonary valve (sometimes called the pulmonic valve), which opens to allow ... see Pulmonic Stenosis Pulmonic Stenosis Pulmonic (pulmonary) stenosis is a narrowing of the pulmonary valve opening that blocks ...
Pulmonic stenosis is a heart valve disorder that involves the pulmonary valve. ... Pulmonic stenosis is a heart valve disorder that involves the pulmonary valve. ... Valvular pulmonary stenosis; Heart valve pulmonary stenosis; Pulmonary stenosis; Stenosis - pulmonary valve; Balloon ... You have symptoms of pulmonary valve stenosis.. *You have been treated or have untreated pulmonary valve stenosis and have ...
Aortic valve stenosis; Echocardiography; Pulmonary hypertension; Aged; Aged, 80 and over; Aortic Valve Stenosis; ... Mitral Effective Regurgitant Orifice Area Predicts Pulmonary Artery Pressure Level in Patients with Aortic Valve Stenosis. ... and elevated pulmonary artery pressure are common findings in patients with aortic valve stenosis (AS). The pathophysiologic ... and elevated pulmonary artery pressure are common findings in patients with aortic valve stenosis (AS). The pathophysiologic ...
... and only rarely do acquired disorders such as carcinoid and rheumatic fever affect the pulmonary valve. The pulmonary valve may ... be stenotic or atretic, or the leaflets of the valve may be absent. ... Diseases of the pulmonary valve are most often congenital, ... of congenital pulmonary valve stenosis with tricuspid valve ... Hypoplasia of the pulmonary valve ring and dysplastic pulmonary valves may be present in a few of patients. Pulmonary valve ...
Total anomalous pulmonary venous return. 3. 26. Pneumonia. Yes. RSV¶. N276S. MCH0910-002. 6/F. 39 + 0. Pulmonary valve stenosis ... Pulmonary artery stenosis. 5. 7. Bronchiolitis. Yes. RSV-A. NF. H0708-199. 4/M. 30 + 4. Prematurity, VLBW. 4. 14. Bronchiolitis ...
Pulmonary Valve Stenosis / surgery * Systole * Tetralogy of Fallot / surgery * Ventricular Function ...
Mitral valve disease (mitral regurgitation and mitral stenosis) *. Mitral valve prolapse *. Partial anomalous pulmonary venous ...
And also severe pulmonary valve stenosis.PPG-62mm... ... The pulmonary valve stenosis is the major problem. It is often ... Mitral valve : Normal Aortic valve. : Sclerosis Tricuspid valve : Normal Pulmonary valve : Normal LV. : Normal IVSD... ... Mitral valve : Normal Aortic valve. : Sclerosis Tricuspid valve : Normal Pulmonary valve : Normal LV. : Normal IVSD... ... And also severe pulmonary valve stenosis.PPG-62mmHg.Dr. advice he need open heart surgery. Pls I need suggestions. Is this ...
Mild pulmonary valve stenosis.. *Small or successfully repaired "hole in the heart." These include atrial septal defects (ASDs) ... Mitral valve stenosis: Around the world, this is the most common heart-related complication. Its more common in areas where ... Aortic valve stenosis (if severe and causing symptoms).. *Coarctation of the aorta (if uncorrected or existing along with an ... Mitral valve stenosis (if severe).. *Peripartum cardiomyopathy in a previous pregnancy (with remaining damage to heart function ...
... and with no atrioesophageal fistulas or symptomatic pulmonary valve stenosis in either group. ... symptomatic pulmonary vein stenosis, cardiac tamponade/perforation requiring intervention or surgery, stroke or systemic ... All patients underwent pulmonary vein isolation (Farawave, Boston Scientific) and were followed up at 3, 6, and 12 months. ... Among patients who underwent repeat ablation, pulmonary vein isolation durability was higher in female than in male patients ( ...
Pulmonary atresia. Pulmonary valve anomalies. Pulmonary valve stenosis. Rhabdomyoma. Right aortic arch. ...
Pulmonary atresia. Pulmonary valve anomalies. Pulmonary valve stenosis. Rhabdomyoma. Right aortic arch. ...
... pulmonary valve stenosis, and atrial septal defects. This study is the first to show these links. More research is needed to ... for babies with pulmonary atresia to 62% for babies with coarctation of the aorta. If these babies had been tested for CCHD ...
Pulmonary valve stenosis (PS): This is a narrowing of the valve at the exit of the right ventricle that directs blood through ... Pulmonary Valve Stenosis, Tetralogy of Fallot, TGA, TOF, Total Anomalous Pulmonary Venous Return, Transposition of the Great ... the pulmonary artery to receive oxygen from the lungs.. *Aortic valve stenosis (AS): This is a narrowing of the valve at the ... AS, ASD, Aortic Valve Stenosis, Atrial Septal Defects, CHD, Coarctation of the Aorta, Hypoplastic Left Ventricle, Patent Ductus ...
Pulmonary Valve Disease. *Pulmonary Valve Stenosis. *Restrictive Cardiomyopathy. *Rheumatic Heart Disease. *Tricuspid Valve ... Anorexigens and Valve Disease); and catheter ablation and pulmonary vein flow (ROTEA). He has published key articles in such ... Amyloidosis, Heart Valve Disease, Pericardial Disease, Pericarditis, Cardiovascular imaging, Echocardiogram, Non-invasive ... He has been the director and co-director of the Annual Diastology and Valve Summit courses for the last 20 years. He is also ...
Reintervention in Patients With Right Ventricular-Pulmonary Artery Conduit or Bioprosthetic Pulmonary Valve Stenosis (DO NOT ... Evaluation and Follow-Up After Right Ventricular-Pulmonary Artery Conduit or Prosthetic valve (DO NOT EDIT)[1]. Class I ... "2. Either surgical or percutaneous therapy can be useful in asymptomatic patients when a pulmonary bioprosthetic valve has a ... "1. Surgeons with training and expertise in CHD should perform operations for patients with severe pulmonary prosthetic valve ...
Right: pulmonary and tricuspid valves. pulmonary valves (stenosis, insufficiency) - tricuspid valves (stenosis, atresia) - ... Left: aortic and mitral valves. aortic valves (stenosis, insufficiency, bicuspid) - mitral valves (stenosis, regurgitation) - ... Persistent left superior vena cava - Total anomalous pulmonary venous connection - Scimitar syndrome. ...
... an association driven by pulmonary valve stenosis (OR=1.86; 95% CI=1.07-3 .22). RYOTO defects were also associated with carbon ... an association driven by aortic stenosis (OR=5.48; 95% CI= I .52-19.75). Right ventricular outflow tract obstruction (RYOTO) ...
Valve defects, such as narrowed valves (pulmonary valve stenosis) or abnormally shaped valves (aortic atresia) ... The options may include medications, cardiac catheterization and percutaneous interventions (like Melody valve or TAVR valve), ... These defects can involve the valves within the heart, the interior walls of the heart, or the veins and arteries associated ...
The effects of severe aortic stenosis and high pulmonary artery pressure on aortic valve replacement (Articles) ...
Pathologic causes of systolic murmurs include atrial and ventricular septal defects, pulmonary or aortic outflow tract ... Moderate to severe pulmonary valve stenosis may cause a thrill at the upper left sternal border. A thrill resulting from aortic ... Aortic stenosis, venous hum. Upper left sternal border. Pulmonary stenosis, pulmonary flow murmurs, atrial septal defect, ... severe pulmonary valve stenosis in a young child. These S1-coincident murmurs are also known as "holosystolic" murmurs. ...
Emergency Hybrid Correction in a Newborn with Critical Aortic Valve Stenosis with Acute Pulmonary Edema in the First Hour after ... aortic and mitral valves stenosis variant), that led to the cardiogenic shock and acute pulmonary edema. The procedure included ... Abstract Critical aortic valve stenosis in newborns is the cause of a severe clinical condition with the onset of symptoms ... We present a clinical case of a successful surgical correction of a critical aortic stenosis using a hybrid method applied in a ...
  • Moderate and severe pulmonary valve stenosis may need a procedure to repair or replace the valve. (mayoclinic.org)
  • Some infants with severe pulmonary valve stenosis may need emergency care prior to treatment. (childrenshospital.org)
  • Additional congenital heart lesions (eg, muscular right ventricular outflow tract obstruction, pulmonary valve stenosis, pulmonary venous obstruction, persistent elevation of PVR, mitral stenosis) can restrict shunting, possibly leading to right-to-left shunting at the VSD, depending on the ultimate resistance balance between the systemic and the total right-sided resistances. (medscape.com)
  • Atresia of the tricuspid valve and total anomalous supracardiac pulmonary venous return. (bvsalud.org)
  • An interatrial communication, a patent foramen ovale or an atrial septal defect may be present and may be the seat for right-to-left shunt in patients with severe or long-standing pulmonary stenosis. (medscape.com)
  • Isolated infundibular or subvalvar pulmonary stenosis is uncommon and usually associated with a ventricular septal defect (VSD) , such as in tetralogy of Fallot. (medscape.com)
  • The heart defects in the study with this link include tetralogy of Fallot, pulmonary valve stenosis, and atrial septal defects. (cdc.gov)
  • Pathologic causes of systolic murmurs include atrial and ventricular septal defects, pulmonary or aortic outflow tract abnormalities, and patent ductus arteriosus. (aafp.org)
  • Other structural defects include atrial and ventricular septal defects, branch pulmonary artery stenosis, and tetralogy of Fallot. (nih.gov)
  • Background:Noonan syndrome is a rare disease, mainly presenting with malformations such as dysplasia and stenosis of the pulmonary valve, atrial septal defect and a typical pattern of hypertrophic cardiomyopathy. (medscimonit.com)
  • Perimembranous ventricular septal defects (VSDs) are located in the left ventricle outflow tract beneath the aortic valve. (medscape.com)
  • The defect may be partially or completely occluded by the septal leaflet of the tricuspid valve. (medscape.com)
  • Independent of the type of ventricular septal defect (VSD), the hemodynamic significance of the VSD is determined by two factors: the size of the defect and the resistance to flow out of the right ventricle, including the pulmonary vascular resistance (PVR) and anatomic right ventricular outflow obstruction. (medscape.com)
  • Those muscle bundles run between an area located in the ventricular septum, beneath the level of the septal leaflet of the tricuspid valve, and the anterior wall of the RV. (medscape.com)
  • Frequent associated lesions include ventricular septal defect (VSD), pulmonary valve stenosis, and discrete subaortic stenosis. (medscape.com)
  • Modified technique for dilatation of pulmonary valve stenosis (nearly atresia) in a neonate]. (bvsalud.org)
  • Pulmonic valvular stenosis (PVS) is a form of right ventricular outflow tract obstruction (RVOTO). (medscape.com)
  • Obstetric ultrasonography can be useful for the in utero diagnosis of pulmonary valve stenosis and other congenital cardiovascular defects such as Tetralogy of Fallot. (wikipedia.org)
  • The pediatric cardiologists and cardiac surgeons at Boston Children's have pioneered several of the interventional catheterization-repair techniques, now used widely for many congenital heart defects, including pulmonary valve stenosis. (childrenshospital.org)
  • Defects may involve abnormal formation of the heart's walls or valves or of the blood vessels that enter. (msdmanuals.com)
  • Percutaneous balloon pulmonary dilation (valvuloplasty) may be performed when no other heart defects are present. (medlineplus.gov)
  • Classically, this condition is a combination of four defects: 1) a large VSD, 2) narrowing of the exit to the right ventricle (pulmonary stenosis), 3) overdevelopment of the muscular wall of the right ventricle (right ventricular hypertrophy), and 4) the aorta is positioned above the wall separating the two sides of the heart (an overriding aorta). (drgreene.com)
  • Percutaneous balloon pulmonary dilation (valvuloplasty) has been used for treatment of pulmonary stenosis that occurs without the presence of other heart defects. (iowaheart.com)
  • These defects can involve the valves within the heart, the interior walls of the heart, or the veins and arteries associated with the heart. (ucsd.edu)
  • A large study called the Second Natural History Study of Congenital Heart Defects 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. (medscape.com)
  • In terms of treatment for pulmonary valve stenosis, valve replacement or surgical repair (depending upon whether the stenosis is in the valve or vessel) may be indicated. (wikipedia.org)
  • Your doctor will use imaging scans and other examinations to determine the best course of treatment for pulmonary valve stenosis. (healthline.com)
  • The pulmonary annulus and the right ventricular outflow tract (RVOT) may be narrowed as well. (medscape.com)
  • What are the potential complications of pulmonary valve stenosis? (healthline.com)
  • Untreated pulmonary valve stenosis can lead to a number of harmful and deadly complications. (healthline.com)
  • Prompt diagnosis and treatment of pulmonary valve stenosis can help reduce the risk of complications. (mayoclinic.org)
  • The primary safety outcome included the composite of acute (less than 7 days post-procedure) and chronic (more than 7 days post-procedure) major adverse events, including atrioesophageal fistula, symptomatic pulmonary vein stenosis, cardiac tamponade/perforation requiring intervention or surgery, stroke or systemic thromboembolism , persistent phrenic nerve injury, vascular access complications requiring surgery, coronary artery spasm, and death. (medscape.com)
  • A congenital heart defect can also increase the risk of developing complications, such as heart failure, endocarditis, atrial arrhythmia and heart valve problems. (ucsd.edu)
  • 10] Mutations in germlines PTPN1 and RAF1 associated tetralogy of Fallot (TOF) are also associated with a uni- or bicuspid pulmonic valve, which may or may not cause an independent obstruction. (medscape.com)
  • Cross sectional echocardiography showed valvar and subvalvar pulmonary stenosis. (medscimonit.com)
  • Changes secondary to pulmonary valve obstruction occur in the right ventricle and pulmonary artery. (medscape.com)
  • This dilatation is independent of the severity of the pulmonary valve obstruction and presumably related to a high-velocity jet across the stenotic valve. (medscape.com)
  • 1. After surgical relief of RVOT obstruction with a conduit or prosthetic valve , patients should be followed up on a 1- to 2-year basis with echocardiography Doppler assessment of RV systolic pressure and function, as well as a measurement of the gradient across the RVOT . (wikidoc.org)
  • The degree of obstruction may remain stable or increase, depending on how the pulmonary valve changes in response to the patient's growth. (pted.org)
  • In adulthood, there may be an increase in obstruction as calcification of the valve sets in and arrhythmias may develop. (pted.org)
  • The ECG provides non-quantitative information on severity of the stenosis and will appear normal if the obstruction is mild. (pted.org)
  • A cardiac catheterization procedure may be performed to accurately determine the degree of obstruction, measured by the difference in blood pressure between the right ventricle and pulmonary artery and for intervention (pulmonary balloon valvuloplasty). (pted.org)
  • Obstruction to pulmonary blood flow usually progresses with hypertrophy of the muscle and further obliteration of the RV cavity, although cases without progression of obstruction and even of spontaneous regression have been described. (medscape.com)
  • Among some of the symptoms consistent with pulmonary valve stenosis are the following: Heart murmur Cyanosis Dyspnea Dizziness Upper thorax pain Developmental disorders In regards to the cause of pulmonary valve stenosis a very high percentage are congenital, the right ventricular flow is hindered (or obstructed by this). (wikipedia.org)
  • What are the symptoms of pulmonary valve stenosis? (healthline.com)
  • In some cases, symptoms may not appear until the stenosis becomes severe. (healthline.com)
  • They might not recommend intervention if the stenosis is mild and not causing symptoms. (healthline.com)
  • Some people with mild pulmonary valve stenosis don't have symptoms. (mayoclinic.org)
  • Pulmonary valve stenosis symptoms depend on how much blood flow is blocked. (mayoclinic.org)
  • Those with more-severe pulmonary stenosis may first notice symptoms while exercising. (mayoclinic.org)
  • Children with mild to moderate pulmonary stenosis may not have any symptoms. (childrenshospital.org)
  • If your newborn has any symptoms that suggest a heart problem such as pulmonary valve stenosis, your pediatrician will refer you to a pediatric cardiologist. (childrenshospital.org)
  • Most children with pulmonary valve stenosis have no symptoms. (msdmanuals.com)
  • Many cases of pulmonic stenosis are mild and do not cause symptoms. (medlineplus.gov)
  • You have symptoms of pulmonary valve stenosis. (medlineplus.gov)
  • You have been treated or have untreated pulmonary valve stenosis and have developed swelling (of the ankles, legs, or abdomen), difficulty breathing, or other new symptoms. (medlineplus.gov)
  • Abstract Critical aortic valve stenosis in newborns is the cause of a severe clinical condition with the onset of symptoms during first hours after birth. (techscience.com)
  • However, most people with pulmonary stenosis have no external symptoms. (pted.org)
  • The pulmonary valve is between the heart's right chamber and the main pulmonary artery (MPA). (chp.edu)
  • The main pulmonary artery is dilated in almost all cases. (medscape.com)
  • If the valve stenosis is of congenital origin, balloon valvuloplasty is another option, depending on the case. (wikipedia.org)
  • A surgical procedure known as a valvuloplasty can stretch the pulmonary valve's walls to improve blood flow. (healthline.com)
  • In the Heart Catheterization Lab at UPMC Children's Hospital , we use a balloon to widen the pulmonary valve (valvuloplasty). (chp.edu)
  • Those who have moderate to severe stenosis are most often treated by cardiac catheterization (balloon dilation or valvuloplasty). (childrenshospital.org)
  • Balloon valvuloplasty to open the valve or surgery to reconstruct it is sometimes needed. (msdmanuals.com)
  • Surgical or balloon valvuloplasty is recommended for moderate to severe stenosis. (pted.org)
  • Children and young adults may be treated by balloon valvuloplasty during a cardiac catheterization procedure, which opens the pulmonary valve, decreasing the stenosis. (pted.org)
  • The pathophysiology of pulmonary valve stenosis consists of the valve leaflets becoming too thick (therefore not separate one from another), which can cause high pulmonary pressure, and pulmonary hypertension. (wikipedia.org)
  • Pulmonary valve regurgitation may occur as a result of a number of conditions, including endocarditis and pulmonary hypertension (high blood pressure). (emoryhealthcare.org)
  • The pathophysiologic role of quantitatively defined MR as a determinant of pulmonary hypertension (PH) is incompletely characterized across the whole spectrum of AS degrees. (univr.it)
  • A curious case of chronic thromboembolic pulmonary hypertension, mitral valve stenosis, and nephropathy in a 24-year-old Native American man. (upenn.edu)
  • Large VSDs (defined as defect size equal to or greater than the diameter of the aortic annulus) typically have left heart dilatation and pulmonary artery hypertension with normal left ventricular systolic function. (medscape.com)
  • Blood going from the heart to the lungs goes through the pulmonary valve, whose purpose is to prevent blood from flowing back to the heart. (wikipedia.org)
  • In pulmonary valve stenosis this opening is too narrow, leading to a reduction of flow of blood to the lungs. (wikipedia.org)
  • The pulmonary valve controls blood flow between the heart and the lungs. (emoryhealthcare.org)
  • In pulmonary valve stenosis, the valve narrows, restricting blood flow to the lungs. (emoryhealthcare.org)
  • This causes the heart to work harder to push blood through the valve and into the lungs. (chp.edu)
  • 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)
  • The pulmonary valve has three leaflets (flaps) which open as the right ventricle contracts (squeezes) to allow blood to go to the lungs and then closes as the ventricle relaxes to prevent blood from running backward (regurgitation). (childrenshospital.org)
  • Pulmonary valve stenosis is a narrowing of the pulmonary valve (sometimes called the pulmonic valve), which opens to allow blood to flow from the right ventricle to the lungs. (msdmanuals.com)
  • The heart valve between the right ventricle and the artery to the lungs is narrowed. (msdmanuals.com)
  • The pulmonary artery carries oxygen-poor blood to the lungs. (medlineplus.gov)
  • This is a narrowing of the valve at the exit of the right ventricle that directs blood through the pulmonary artery to receive oxygen from the lungs. (drgreene.com)
  • the pulmonary artery exits from the left ventricle and carries oxygen-rich blood to the lungs to receive oxygen. (drgreene.com)
  • Before birth, the baby has a blood vessel that runs between the aorta (the main artery to the body) and the pulmonary artery (the main artery to the lungs), called the ductus arteriosus. (limamemorial.org)
  • To distinguish the former from the latter, terms such as pulmonary stenosis with a normal aortic root or pulmonary stenosis with an intact ventricular septum have been used. (medscape.com)
  • Mild stenosis may improve with time. (healthline.com)
  • Pulmonary valve stenosis ranges from mild to severe. (mayoclinic.org)
  • Children with mild pulmonary valve stenosis don't usually need treatment. (childrenshospital.org)
  • Medical follow-up is usually considered to be unnecessary for mild cases of pulmonary stenosis. (pted.org)
  • The diagnosis of pulmonary valve stenosis can be made using stethoscopic auscultation of the heart, which can reveal a systolic ejection murmur that is best heard at the second left intercostal space. (wikipedia.org)
  • Other conditions to consider in the differential diagnosis of pulmonic valvular stenosis include infundibular stenosis and pulmonary artery stenosis. (wikipedia.org)
  • In this issue, top experts highlight advances in diagnosis and treatment for common cardiac diseases such as hypertrophic cardiomyopathy, mitral valve degeneration, and dilated cardiomyopathy. (elsevier.ca)
  • Hypoplasia of the pulmonary valve ring and dysplastic pulmonary valves may be present in a few of patients. (medscape.com)
  • Make a small incision in your groin and insert a special balloon-tipped catheter into the narrowed pulmonary valve. (chp.edu)
  • Once the balloon is positioned across the narrowed valve, the balloon is inflated to stretch the valve open. (childrenshospital.org)
  • The balloon stretches the opening of the valve. (medlineplus.gov)
  • Five days before my audition for the ballet school I had a balloon catheterization to open up my pulmonary valve. (coloradoballet.org)
  • Pulmonary valve stenosis, often with dysplasia, is the most common heart defect and is found in 20%-50% of individuals. (nih.gov)
  • In pulmonary valve regurgitation, the valve does not close completely, allowing blood to flow backward into the heart. (emoryhealthcare.org)
  • Pulmonary valve stenosis can cause the heart to work harder, ultimately damaging the muscle and leading to heart failure, while pulmonary valve regurgitation can cause enlargement in the right ventricle, one of the four chambers of the heart. (emoryhealthcare.org)
  • Background: Mitral regurgitation (MR) and elevated pulmonary artery pressure are common findings in patients with aortic valve stenosis (AS). (univr.it)
  • Systolic pulmonary artery pressure was calculated by adding right atrial pressure to the tricuspid regurgitation pressure gradient. (univr.it)
  • The diseases of greatest importance, because of their prevalence, are mitral regurgitation in dogs (degenerative mitral valve disease), hypertrophic cardiomyopathy in cats, dilated cardiomyopathy (DCM) in dogs, arrhythmogenic right ventricular cardiomyopathy in Boxers and Bulldogs, and heartworm disease. (merckvetmanual.com)
  • CHD primarily affects right heart valves, causing tricuspid and pulmonic regurgitation and less frequently stenosis of these valves. (karger.com)
  • Echocardiography is the mainstay of imaging and demonstrates thickened right heart valves with limited mobility and regurgitation. (karger.com)
  • In severe cases, surgery may be required to replace the pulmonary valve. (healthline.com)
  • Some people may need heart surgery to repair or replace the pulmonary valve. (medlineplus.gov)
  • The options may include medications, cardiac catheterization and percutaneous interventions (like Melody valve or TAVR valve), minimally invasive cardiac surgery, beating heart cardiac surgery or open-heart surgery. (ucsd.edu)
  • Pulmonary valve stenosis most often occurs as a result of a congenital defect (present from birth), but can also be caused by rheumatic fever (often associated with untreated strep throat or scarlet fever) or endocarditis (inflammation of the lining inside the heart), among other conditions. (emoryhealthcare.org)
  • Pulmonary valve stenosis occurs due to improper development of the pulmonary valve in the first eight weeks of fetal growth. (childrenshospital.org)
  • Stenosis, or narrowing, occurs when the valve cannot open wide enough. (medlineplus.gov)
  • Narrowing that occurs in the valve itself is called valvular pulmonic stenosis. (medlineplus.gov)
  • A stenotic pulmonary valve usually occurs without associated congenital abnormalities, although it may be associated with other structural abnormalities of the heart. (medscape.com)
  • Stenosis may be valvular, subvalvular, or supravalvular. (medscape.com)
  • it may also be in the branch pulmonary arteries. (medscape.com)
  • [ 1 ] The pulmonary valve may be stenotic or atretic, or the leaflets of the valve may be absent. (medscape.com)
  • The fused leaflets of the pulmonary valve protrude from their attachment into the pulmonary artery as a conical, windsock-like structure. (medscape.com)
  • Relatively uncommon variants are unicommissural, bicuspid, and tricuspid valves. (medscape.com)
  • and lack of poststenotic dilatation of the pulmonary artery. (medscape.com)
  • Pulmonary valve stenosis (PVS) is a heart valve disorder. (wikipedia.org)
  • While the most common cause of pulmonary valve stenosis is congenital heart disease, it may also be due to a malignant carcinoid tumor. (wikipedia.org)
  • Overview at American Heart Association Scholia has a topic profile for Pulmonary valve stenosis. (wikipedia.org)
  • The valve acts as a doorway that lets blood into and out of the heart. (healthline.com)
  • If you're diagnosed with pulmonary valve stenosis, your doctor will often recommend that you undergo additional tests to ensure your heart is healthy. (healthline.com)
  • If pulmonary valve stenosis is left untreated, the extra effort your heart must exert can lead to heart failure and death. (healthline.com)
  • Pulmonary valve stenosis can cause a heart murmur . (healthline.com)
  • Maintaining a heart-healthy lifestyle also can be beneficial when you have pulmonary valve stenosis. (healthline.com)
  • Pulmonary valve stenosis is a narrowing of the valve between the lower right heart chamber and the lung arteries. (mayoclinic.org)
  • In a narrowed heart valve, the valve flaps may become thick or stiff. (mayoclinic.org)
  • Usually, pulmonary valve disease is caused by a heart problem that develops before birth. (mayoclinic.org)
  • Pulmonary valve stenosis usually results from a heart problem present at birth. (mayoclinic.org)
  • This complication of strep throat can cause permanent damage to the heart and heart valves. (mayoclinic.org)
  • Some people with this syndrome develop carcinoid heart disease, which damages heart valves. (mayoclinic.org)
  • People with heart valve problems, such as pulmonary stenosis, have an increased risk of developing bacterial infections that affect the inner lining of the heart. (mayoclinic.org)
  • In severe pulmonary stenosis, the lower right heart chamber must pump harder to force blood into the pulmonary artery. (mayoclinic.org)
  • Valves are structures in the heart that prevent blood from leaking backward. (chp.edu)
  • How Do You Treat Pulmonary Valve Stenosis in the Heart Cath Lab? (chp.edu)
  • Zareenah's heart condition, pulmonary stenosis, was diagnosed at her mum, Homaira's 20 week scan. (tinytickers.org)
  • Clinical heart researchers at Boston Children's have created a Congenital Heart Valve Program with a focus on valve repair, rather than replacement. (childrenshospital.org)
  • The program has formed in response to the greater emphasis currently being placed on identifying and treating valve abnormalities in children and young adults with congenital heart disease. (childrenshospital.org)
  • The most common signs of pulmonary valve stenosis in a newborn are blueness (cyanosis, lower oxygen levels) and the presence of a heart murmur . (childrenshospital.org)
  • In some cases, pulmonary valve stenosis may be repaired by open-heart surgery , although this is less common. (childrenshospital.org)
  • Doctors often suspect pulmonary stenosis if they hear a certain kind of heart murmur while listening with a stethoscope. (msdmanuals.com)
  • A heart murmur is a sound created by turbulent blood flow through narrowed or leaking heart valves or through abnormal heart structures. (msdmanuals.com)
  • Pulmonic stenosis is a heart valve disorder that involves the pulmonary valve. (medlineplus.gov)
  • This is the valve separating the right ventricle (one of the chambers in the heart) and the pulmonary artery. (medlineplus.gov)
  • And also severe pulmonary valve stenosis.PPG-62mmHg.Dr. advice he need open heart surgery. (medhelp.org)
  • Complex folding and development of the heart before a baby is born results in distinct chambers, separated by walls and valves. (drgreene.com)
  • Pulmonary stenosis is most often unknown and due to a malformation during fetal development, in which the flow of blood from the right ventricle (lower chamber) of the heart is obstructed at the level of the pulmonic valve (the valve which separates the heart from the pulmonary artery). (iowaheart.com)
  • It may occur later in life as a result of conditions that cause damage or scarring of the heart valves (as with rheumatic fever or endocarditis). (iowaheart.com)
  • Heart valve surgery is usually performed in children when they reach preschool age. (iowaheart.com)
  • Medications used before surgery may include prostaglandins (PGE) to maintain pulmonary blood flow, water pills to remove excess fluid, anti-arrhtyhmics to improve the heart pump function, and blood thinners to prevent clots. (iowaheart.com)
  • The infant was diagnosed with a hypoplastic left heart complex with an intact atrial septum (aortic and mitral valves stenosis variant), that led to the cardiogenic shock and acute pulmonary edema. (techscience.com)
  • The aortic valve is one of two valves in charge of controlling the flow of blood as it leaves the heart. (kidshealth.org)
  • Instead of two separate valves allowing flow into the heart, there is one large common valve that might be quite malformed. (kidshealth.org)
  • If bacteria travel through the blood and get stuck on a heart valve, this can cause this infection in the heart. (kidshealth.org)
  • People with congenital heart disease or heart valve problems are most at risk of getting bacterial endocarditis. (kidshealth.org)
  • This infection in the heart happens when bacteria travel through the blood and get stuck on a heart valve. (rchsd.org)
  • Chronic Pulmonary Heart Diseases (incl. (sharecare.com)
  • The baby needs a lifesaving, near-emergency heart surgery for severe pulmonary valve stenosis. (mercola.com)
  • Because that surgery was delayed, specialists believe that baby Will's heart suffered needless damage resulting from the build-up of blood caused by his pulmonary valve stenosis. (newstarget.com)
  • When I was born, I was diagnosed with pulmonary valve stenosis as well as having a hole in my heart. (coloradoballet.org)
  • The baby has a condition called pulmonary valve stenosis, which is a blockage in his heart that needs to be cleared. (rnz.co.nz)
  • Because PVR is high at birth and does not reach its nadir until age 6-8 weeks, the development of significant left-to-right shunting and pulmonary overcirculation, often termed congestive heart failure (CHF), can be delayed until the second or third month of life. (medscape.com)
  • Left heart valves are usually spared because vasoactive substances such as serotonin are enzymatically inactivated in the lung vasculature. (karger.com)
  • The pulmonic valve develops between the 6th and 9th week of gestation. (medscape.com)
  • Normally, the pulmonic valve is formed from three swellings of subendocardial tissue called the semilunar valves. (medscape.com)
  • The swellings are normally hollowed out and reshaped to form the three thin-walled cusps of the pulmonic valve. (medscape.com)
  • Conditions that can have pulmonary valve stenosis as a complication include rheumatic fever and carcinoid tumors in the digestive system. (healthline.com)
  • Diseases of the pulmonary valve are most often congenital, and only rarely do acquired disorders such as carcinoid and rheumatic fever affect the pulmonary valve. (medscape.com)
  • Significant stenosis usually causes hypertrophy (thickening) of the wall of the right ventricle. (pted.org)
  • The pulmonary valve is made of three thin pieces of tissue called flaps, also called cusps. (mayoclinic.org)