Pulmonic regurgitation prognosis
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Prognosis
- The prognosis of pulmonic regurgitation depends on the etiology, severity of the condition, and associated complications.[1]
- Mild to moderate PR is not associated with shortened survival.[1]
- The prognosis of symptomatic patients of PR is good after pulmonary valve replacement.[2] Surgical Pulmonic Valve Repair (PVR) improves right ventricular filling and increases left ventricular stroke volume.[3] Ten year overall and event-free survival after PVR is 98% and 70%, respectively.[4]
- Among patients with pulmonary hypertension (PAH), the severity and duration of PAH determines the ultimate prognosis.
- The prognosis of PR due to congenital absence of pulmonic valve is poor and may limit patient's life expectancy in the absence of valve replacement. Absent pulmonary valve (APVS) is associated with severe regurgitation and complications secondary to respiratory distress.[5]
References
- ↑ 1.0 1.1 Pendela VS, Ayyad R. PMID 31985929. Missing or empty
|title=(help) - ↑ Lee C, Kim YM, Lee CH, Kwak JG, Park CS, Song JY; et al. (2012). "Outcomes of pulmonary valve replacement in 170 patients with chronic pulmonary regurgitation after relief of right ventricular outflow tract obstruction: implications for optimal timing of pulmonary valve replacement". J Am Coll Cardiol. 60 (11): 1005–14. doi:10.1016/j.jacc.2012.03.077. PMID 22921969.
- ↑ Frigiola, A.; Giardini, A.; Taylor, A.; Tsang, V.; Derrick, G.; Khambadkone, S.; Walker, F.; Cullen, S.; Bonhoeffer, P.; Marek, J. (2012). "Echocardiographic assessment of diastolic biventricular properties in patients operated for severe pulmonary regurgitation and association with exercise capacity". European Heart Journal - Cardiovascular Imaging. 13 (8): 697–702. doi:10.1093/ehjci/jes002. ISSN 2047-2404.
- ↑ Lee, Cheul; Kim, Yang Min; Lee, Chang-Ha; Kwak, Jae Gun; Park, Chun Soo; Song, Jin Young; Shim, Woo-Sup; Choi, Eun Young; Lee, Sang Yun; Baek, Jae Suk (2012). "Outcomes of Pulmonary Valve Replacement in 170 Patients With Chronic Pulmonary Regurgitation After Relief of Right Ventricular Outflow Tract Obstruction". Journal of the American College of Cardiology. 60 (11): 1005–1014. doi:10.1016/j.jacc.2012.03.077. ISSN 0735-1097.
- ↑ Grewal DS, Chamoli SC, Saxena S (April 2014). "Absent pulmonary valve syndrome - Antenatal diagnosis". Med J Armed Forces India. 70 (2): 198–200. doi:10.1016/j.mjafi.2013.07.002. PMC 4017172. PMID 24843213.