Pulmonary valve stenosis surgery

Pulmonary valve stenosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Surgery

ACC/AHA Guidelines - Recommendations for intervention in patients with valvular Pulmonary Stenosis (DO NOT EDIT)

Class I

"1.Balloon valvotomy is recommended for asymptomatic patients with a domed pulmonary valve and a peak instantaneous Doppler gradient greater than 60 mm Hg or a mean Doppler gradient greater than 40 mm Hg (in association with less than moderate pulmonary valve regurgitation).(Level of Evidence: B) "

"2.Balloon valvotomy is recommended for symptomatic patients with a domed pulmonary valve and a peak instantaneous Doppler gradient greater than 50 mm Hg or a mean Doppler gradient greater than 30 mm Hg (in association with less than moderate pulmonary regurgitation).(Level of Evidence: C) "

"3.Surgical therapy is recommended for patients with severe PS and an associated hypoplastic pulmonary annulus, severe pulmonary regurgitation, subvalvular PS, or supravalvular PS. Surgery is also preferred for most dysplastic pulmonary valves and when there is associated severe TR or the need for a surgical Maze procedure.(Level of Evidence: C) "

"4.Surgeons with training and expertise in CHD should perform operations for the RVOT and pulmonary valve.(Level of Evidence: B) "