Materiały źródłowe

• #1 Pulmonary Valve Disease: Types & Symptoms

  https://my.clevelandclinic.org/health/diseases/pulmonary-valve-disease

  Pulmonary valve disease makes it hard for blood to move from your heart to a blood vessel that goes to your lungs. Any delay in getting blood to your lungs means a delay in collecting oxygen for your body to use. Medicines and/or surgery can treat the various types of pulmonary valve disease. The outlook is generally good after treatment. […] Pulmonary valve disease treatments range from medicine to surgery, depending on the condition you have. […] Pulmonary valve disease treatments include: Balloon valvuloplasty to widen your pulmonary valve. Medicine or a stent (for atresia) to keep a babys ductus arteriosus open instead of allowing it to close soon after birth. Diuretics to keep you from retaining fluid because of heart failure from a leaky valve. Medicines to treat pulmonary hypertension or endocarditis (for regurgitation). Transcatheter procedure or open-heart surgery to repair a leaky valve or put in a new one.

• #2 Valvular heart disease | Heart and Stroke Foundation

  https://www.heartandstroke.ca/heart-disease/conditions/valvular-heart-disease

  The pulmonary valve controls blood flow between the right ventricle and the lungs. It opens to let the heart pumps blood out of the ventricles into the pulmonary artery toward the lungs so it can pick up oxygen. […] Pulmonary valve stenosis If your pulmonary valve narrows, the flow of oxygen-poor blood from the right ventricle through the pulmonary arteries to the lungs is restricted. This affects your bloods ability to pick up oxygen and deliver oxygen-rich blood to the rest of your body. With pulmonary valve stenosis, the right ventricle has to work harder to pump blood through the narrowed pulmonary valve and the pressure in the heart is often increased. […] Pulmonary valve regurgitation This results when the pulmonary valve doesnt close properly. The lower right chamber (right ventricle) of the heart pushes blood through the pulmonary artery into the lungs for blood to pick up oxygen. When the pulmonary valve does not close completely, blood can leak back from the lungs into the heart. This backward blood flow mixes oxygen-poor and oxygen-rich blood, and reduces the availability of oxygen-rich blood to fuel the rest of your body.

• #3

  https://www.aurorahealthcare.org/services/heart-vascular/conditions/pulmonary-valve-disease

  Pulmonary valve disease is one of the four heart valve diseases. The others are aortic valve disease, mitral valve disease and tricuspid valve disease. […] Youre in good hands for treating pulmonary valve disease. Our extensive experience in all kinds of heart valve conditions and less invasive treatment offerings can mean a shorter hospital stay and a faster and better recovery for you. […] At Aurora, our specialized heart center is dedicated to heart valve disease. Here youll find a team of highly skilled and experienced specialists, the latest treatments and personalized care for your best heart health.

• #4 Pulmonary Valve Stenosis | Heart and Vascular Care | Bon Secours

  https://www.bonsecours.com/health-care-services/heart-care-cardiology/conditions/pulmonary-valve-stenosis

  Pulmonary valve stenosis can be a complication of another condition or can be due to a congenital (present at birth) heart defect. […] Diagnosis of pulmonary valve stenosis typically includes a physical exam and imaging tests. […] Depending on the condition’s severity, treatment for pulmonary valve stenosis may include ongoing monitoring or surgery. […] If not properly diagnosed and managed, this condition may lead to serious complications, such as heart failure or heart-pumping problems. […] Treatment for pulmonary valve stenosis may include: Ongoing monitoring. If your pulmonary valve stenosis is mild and not causing any complications, your cardiologist may recommend ongoing monitoring with regular office visits. […] Surgical procedure. If your pulmonary valve stenosis is more severe and causes complications, you may need to undergo a surgical procedure to correct it.

• #5 Pulmonary valve stenosis | Altru Health System

  https://www.altru.org/health-library/conditions/pulmonary-valve-stenosis

  Pulmonary valve stenosis is a narrowing of the valve between the lower right heart chamber and the lung arteries. In a narrowed heart valve, the valve flaps may become thick or stiff. This reduces blood flow through the valve. […] Usually, pulmonary valve disease is caused by a heart problem that develops before birth. A heart problem present at birth is called a congenital heart defect. In adults, pulmonary valve stenosis may be a complication of another illness. […] Moderate and severe pulmonary valve stenosis may need a procedure to repair or replace the valve. […] Prompt diagnosis and treatment of pulmonary valve stenosis can help reduce the risk of complications. […] If you have moderate or severe pulmonary valve stenosis, you may need a heart procedure or heart surgery. The type of procedure or surgery done depends on your overall health and the appearance of your pulmonary valve.

• #6 Pulmonary Valve Stenosis (Tetralogy of Fallot) | Connecticut Children’s

  https://www.connecticutchildrens.org/specialties-conditions/cardiology/conditions/pulmonary-valve-stenosis-tetralogy-fallot

  Pulmonary valve stenosis (also known simply as pulmonary stenosis) is a condition that affects the pulmonary valve, which connects the hearts lower right chamber to the lungs. […] This strains the heart, which has to work harder than it should to pump blood to the lungs. […] If a case of pulmonary stenosis is mild, it may not need any treatment. But its important to check in regularly with a heart doctor (cardiologist) to make sure its not getting worse. […] In more serious cases, doctors may fix or replace the pulmonary valve. […] Patients born with pulmonary stenosis often need to follow up with congenital heart experts throughout their life, including with regular tests like echocardiograms or cardiac magnetic resonance images (MRIs). […] Connecticut Childrens Heart Center is there every step of the way. Our experts understand the unique anatomy of the heart after congenital surgeries or procedures. Were proud to continue caring for patients in adulthood with our nationally accredited Adult Congenital Heart Disease program.

• #7 Pulmonary Valve Stenosis | SCAI – Seconds Count

  https://www.secondscount.org/condition/pulmonary-valve-stenosis

  In pulmonary valve stenosis, the hearts pulmonary valve is thick and its opening is smaller than normal. As a result, blood cant flow normally from the heart through the valve and to the lungs. […] Mild pulmonary valve stenosis usually is very stable over time and typically requires no medical therapy. Sometimes, as a child grows, this stenosis may improve independently. […] Moderate pulmonary valve stenosis could progress to severe. Both moderate and severe pulmonary valve stenosis require medical treatment, either with catheter-based balloon valvuloplasty or surgery: […] In balloon valvuloplasty, which has become the standard of care to relieve pulmonary valve stenosis, an interventional cardiologist inserts a thin, flexible tube (catheter) with a balloon on its tip in a large vein in the groin and guides it through the vein into the hearts right ventricle. […] Improved blood flow through the pulmonary valve can be accomplished by surgically separating the valves leaflets or removing tissues obstructing the valve.

• #8 Pulmonary Regurgitation | Symptoms and Treatment | MedStar Health

  https://www.medstarhealth.org/services/pulmonary-regurgitation

  Blood flows from the heart into the lungs through the pulmonary valve. In cases of pulmonary regurgitation, the valve leaks some of this blood back into the heart before it reaches the lungs. This condition is a form of pulmonary valve disease. […] Treatment often focuses on addressing the conditions core cause. In some cases, your doctor may recommend a pulmonary valve replacement. […] Pulmonary valve repair and replacement procedures include minimally invasive and traditional surgery as well as several types of replacement material. […] Transcatheter pulmonary valve replacement (TPVR) is a minimally invasive option to replace a damaged pulmonary valve that reduces blood flow from the heart to the lungs.

• #9 Pulmonary Stenosis > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/pulmonary-stenosis

  Pulmonary stenosis, or pulmonic stenosis, is a heart condition characterized by narrowing at or near the pulmonary valve. This restricts blood flow from the right ventricle to the pulmonary artery, the vessel that carries blood to the lungs for oxygenation. […] Symptoms can range from mild to severe, depending on the extent of the narrowing of the pulmonary valve. In mild cases, individuals usually do not have any symptoms, while those with moderate or severe pulmonary stenosis may experience symptoms, including: shortness of breath, fatigue, chest pain, fainting, bluish discoloration of the skin (cyanosis), abdominal swelling, failure to thrive (in infants), and poor weight gain (in infants). […] Treatments for pulmonary stenosis include catheterization procedures, surgery, medications, monitoring, and physical activity restrictions.

• #9 Pulmonary Stenosis > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/pulmonary-stenosis

  Regular check-ups are important to monitor the heart and pulmonary valve. This may include echocardiograms and other heart tests. […] People with mild stenosis can usually participate in normal activities and exercise without restrictions. Those with more severe stenosis may need to limit intense physical activities until treatment is completed.

• #10 Pulmonary Valve Disease | Structural Heart | Henry Ford Health – Detroit, MI

  https://www.henryford.com/services/structural-heart/conditions/heart-valve-disease/pulmonary-valve-disease

  Without treatment, pulmonary valve disease can keep you from your everyday activities. But with the right care, this heart valve condition doesnt have to stop you from living your life. […] Our doctors provide an accurate diagnosis to get the right treatment for you. […] After your evaluation, our team meets to discuss your care. We work together to develop your customized treatment plan. We then review your treatment options with you. We help you decide which treatment is best for you. Options may include: […] Medications cant cure heart valve disease, but they can relieve the early symptoms. Our team can also help you make lifestyle changes to manage symptoms. […] Some people still benefit from traditional open-heart surgery to repair or replace the valve. Expert heart surgeons on our team provide safe, effective treatment.

• #11 TPVR | Heart and Vascular Care | UMass Memorial Health

  https://www.ummhealth.org/services-treatments/heart-and-vascular-care/cardiology/heart-valve-disease-program/transcatheter-pulmonary-valve-replacement-tpvr

  If you were born with pulmonary valve disease, we understand how stressful it can be to manage symptoms in adulthood. […] People with pulmonary valve disease often have chest pain, shortness of breath, fatigue and other symptoms that prevent them from enjoying an active life. […] TPVR benefits include: […] Eases symptoms […] Quicker recovery than open surgery. […] We focus on giving you the best possible long-term outcomes and reducing or delaying the need for future surgeries.

• #12 Pulmonic Valvular Stenosis Treatment & Management: Approach Considerations, Prehospital Care, Emergency Department Care

  https://emedicine.medscape.com/article/759890-treatment

  Postprocedure complications are rare. Infective endocarditis of the pulmonary valve is very rare. […] In the unoperated, asymptomatic patient with pulmonic valvular stenosis (PVS), ACC/AHA guidelines outline the following: Initial evaluation for all patients includes two-dimensional (2D) echocardiography, chest radiography, and electrocardiography (ECG). […] In mild pulmonic valvular stenosis, follow up exams every 5 years with 2D echocardiography and ECG are recommended. […] In moderate to severe pulmonic valvular stenosis, follow up exams every 2-5 years with 2D echocardiography are recommended. […] Most patients with murmurs are given prophylaxis against infective subacute bacterial endocarditis (SBE). […] Current ACC/AHA guidelines do not advise prophylaxis for pulmonic valvular stenosis.

• #12 Pulmonic Valvular Stenosis Treatment & Management: Approach Considerations, Prehospital Care, Emergency Department Care

  https://emedicine.medscape.com/article/759890-treatment

  Surgical management is the definitive treatment for pulmonic valvular stenosis (PVS). Patients with congestive heart failure may benefit from anticongestive therapy. […] Interventions for pulmonic valvular stenosis include balloon dilatation, stenting, and pulmonic valve replacement. […] Current guidelines recommend balloon valvuloplasty as the treatment of choice for all patients who can anatomically undergo the procedure. […] When surgical valve repair is required, it is typically in the setting of severe stenosis along with concomitant severe pulmonary regurgitation, hypoplastic annulus, subvalvular or supravalvular stenosis, or in a patient with dysplastic valves. Additionally, it may be considered when the patient is already undergoing a concurrent cardiac surgery. […] Oxygen should be administered to any patient in respiratory distress. Oxygen may also assist with pulmonary artery vasodilation, thus increasing pulmonary blood flow.

• #12 Pulmonic Valvular Stenosis Treatment & Management: Approach Considerations, Prehospital Care, Emergency Department Care

  https://emedicine.medscape.com/article/759890-treatment

  Clinical evaluation and echocardiography will direct management. Patients presenting in extremis will need rapid stabilization, and it is recommended that transfer to a regional congenital heart disease center is initiated. […] Intervention with either balloon angioplasty or valve repair is indicated for patients with severe or symptomatic infundibular or supravalvular pulmonic valvular stenosis (PVS). […] Patients with infundibular or supravalvular pulmonic stenosis, if severe, require operative and invasive surgical interventions. […] A surgical approach is often preferred in patients with Noonan syndrome because of the degree of immobility that is often present. […] Patients who require such interventions should be transferred to a tertiary care center that specializes in congenital heart disease (CHD).

• #13 Pulmonary Valve Stenosis | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/pulmonary-valve-stenosis

  The Benderson Family Heart Center at Boston Children’s Hospital is the largest pediatric heart program in the U.S. Our staff of more than 80 pediatric cardiac specialists care for thousands of children and adults with congenital and acquired heart defects each year, from simple to complex cases. We have experience treating rare heart problems with success rates that are among the best in the world. […] Part of our approach to valve repair is finding new ways to get more accurate imaging information with tools such as three-dimensional (3D) modeling, echocardiograms, and cardiac magnetic resonance imaging (MRI). Through use of advanced imaging, our specialists can better understand valve dysfunction and find the appropriate treatment.

• #13 Pulmonary Valve Stenosis | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/pulmonary-valve-stenosis

  Pulmonary valve stenosis is the term describing a narrowing in the opening of the pulmonary valve. 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. […] Children with mild pulmonary valve stenosis don’t usually need treatment. However, they do require follow up over time, since in some patients, the degree of obstruction can progress. […] Those who have moderate to severe stenosis are most often treated by cardiac catheterization (balloon dilation or valvuloplasty). During this procedure the doctor inserts a small, flexible tube (catheter) with a deflated balloon on the tip. Once the balloon is positioned across the narrowed valve, the balloon is inflated to stretch the valve open. This procedure is performed under sedation or anesthesia to ensure the patient does not feel any discomfort. Most patients are discharged either the same day of the procedure or the following day, after a brief period of observation.

• #14 Pulmonary valve disease | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/pulmonary-valve-disease

  Pulmonary valve disease treatment depends on: […] Treatment may include: […] Surgery or another treatment may be needed to fix or replace the pulmonary valve. […] The decision to repair or replace a damaged pulmonary valve depends on many things, including: […] Pulmonary valve surgery may be done at the same time as other heart valve surgeries. In general, surgeons recommend pulmonary valve repair when possible, as it saves the heart valve and improves heart function. […] Types of surgery or procedures used to treat pulmonary valve disease include: […] Balloon valvuloplasty. This treatment is often used to treat infants and children with a narrowed pulmonary valve. […] Pulmonary valve replacement surgery. If the pulmonary valve can’t be fixed, a surgeon might replace the valve with a mechanical valve or one made from cow, pig or human heart tissue. […] Transcatheter pulmonary valve replacement. Sometimes, the pulmonary valve can be replaced with a minimally invasive procedure, which uses thin, flexible tubes and smaller surgical cuts.

• #15 Congenital pulmonary valve stenosis | Norton Children’s Louisville, Ky.

  https://nortonchildrens.com/services/cardiology/conditions/congenital-heart-disease/pulmonary-stenosis/

  In some cases, pulmonary stenosis doesn’t need to be treated. In severe cases, the pulmonary valve will need to be fixed or replaced. […] Many types of procedures can be used to repair or replace the severely stenosed pulmonary valve. Some cases of pulmonary stenosis can be treated with a balloon valvuloplasty during heart catheterization. […] To decide what treatment to use, doctors consider: Child’s age and size, How well other valves in the heart are working, Location of the narrowing and the amount of narrowing, Whether the child has had previous heart surgery, Whether the child has other medical conditions. […] Your pediatric cardiologist and pediatric cardiothoracic surgeon at Norton Children’s Heart Institute will discuss valve replacement options in order to find which option is best for your child.

• #16 Pulmonary Valve Disease | UH Harrington Heart & Vascular Institute | University Hospitals | University Hospitals

  https://www.uhhospitals.org/services/heart-and-vascular-services/conditions-and-treatments/heart-valve-disease/pulmonary-valve-disease

  Pulmonary valve disease is a form of heart valve disease. Pulmonary valve disease refers to conditions in which the pulmonary valve does not function normally. […] The experts at University Hospitals Harrington Heart Vascular Institutes Valve and Structural Heart Disease Center provide regular monitoring of mild and moderate pulmonary stenosis. For severe cases of pulmonary stenosis, we may recommend one of the following procedures: […] Mild pulmonary regurgitation may not require treatment. Treatment options may include: […] Surgical repair and/or replacement of the pulmonary valve can help improve blood flow and reduce symptoms of pulmonary regurgitation.

• #17 Partners in Care | Pulmonary Stenosis treatment at the Texas Center…

  https://partnersincare.health/conditions/pulmonary-stenosis

  Moderate to severe pulmonary stenosis can worsen over time but treatments can be very effective, and your child should be able to have a healthy, active life. […] If your child has mild to moderate pulmonary stenosis, treatment may not be necessary. Your child’s pediatric cardiologist will likely recommend regular appointments to monitor your child’s heart function to ensure pulmonary stenosis doesn’t worsen. Children with severe to critical pulmonary stenosis may require treatment to open up the valve. […] After recuperating from treatment, most children born with pulmonary stenosis can go on to lead active, unrestricted lives. Your pediatric cardiologist may recommend ongoing care for the rest of your child’s life to monitor the heart and the pulmonary valve. Another balloon valvuloplasty may be needed to stretch the valve again or the valve may need to be replaced as your child grows.

• #17 Partners in Care | Pulmonary Stenosis treatment at the Texas Center…

  https://partnersincare.health/conditions/pulmonary-stenosis

  The Texas Center for Pediatric and Congenital Heart Disease, a clinical partnership between Dell Childrens Medical Center and UT Health Austin, takes a multidisciplinary approach to your child’s care. This means your child and your family will benefit from the expertise of multiple specialists across a variety of disciplines. Your care team will include pediatric cardiologists, cardiothoracic surgeons, interventional cardiologists, critical care specialists, hospitalists, anesthesiologists, perfusionists, nurses, advanced practice providers, social workers, psychologists, child life specialists, dietitians, physical and occupational therapists, pharmacists, and more, who work together to provide unparalleled care for patients every step of the way. We collaborate with our colleagues at the Dell Medical School and The University of Texas at Austin to utilize the latest research, diagnostic, and treatment techniques, allowing us to identify new therapies to improve treatment outcomes. We are committed to communicating and coordinating your child’s care with referring physicians and other partners in the community to ensure that we are providing comprehensive, whole-person care.

• #18

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abr8592

  Your baby may need special care, such as being in the neonatal intensive care unit (NICU). This may be scary for you. But the hospital staff understands this. They will explain what happens and will answer your questions. […] Your doctor will help you understand your treatment choices and what to expect from each choice. […] Your baby may get medicine to keep the ductus arteriosus open. The medicine may be given through a blood vessel in the belly button. […] Your baby will be kept comfortable and warm. […] Follow-up care is a key part of your child’s treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if your child is having problems. It’s also a good idea to know your child’s test results and keep a list of the medicines your child takes.

• #19 Pulmonary valve stenosis | Altru Health System

  https://www.altru.org/health-library/conditions/pulmonary-valve-stenosis

  Pulmonary valve stenosis treatment may include: Balloon valvuloplasty. The provider inserts a flexible tube with a balloon on the tip into an artery, usually in the groin. […] Valvuloplasty may improve blood flow through the heart and reduce pulmonary valve stenosis symptoms. But the valve may narrow again. Some people need valve repair or replacement in the future. […] If balloon valvuloplasty isn’t an option, open-heart surgery or a catheter procedure may be done to replace the pulmonary valve. […] If you have valve disease, it’s important to take steps to keep your heart healthy. Certain lifestyle changes can decrease your risk of developing other types of heart disease or having a heart attack. […] Preparing a list of questions can help you make the most of your time with your health care provider. For pulmonary valve stenosis, some basic questions include: What treatments are available? Which do you recommend and why?

• #20 Pulmonary valve disease | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/pulmonary-valve-disease?content_id=CON-20155136

  Types of surgery or procedures used to treat pulmonary valve disease include: Balloon valvuloplasty. This treatment is often used to treat infants and children with a narrowed pulmonary valve. […] Pulmonary valve replacement surgery. If the pulmonary valve can’t be fixed, a surgeon might replace the valve with a mechanical valve or one made from cow, pig or human heart tissue. […] Transcatheter pulmonary valve replacement. Sometimes, the pulmonary valve can be replaced with a minimally invasive procedure, which uses thin, flexible tubes and smaller surgical cuts.

• #21 Pulmonary Heart Valve Disease | MedStar Health

  https://www.medstarhealth.org/services/pulmonary-valve-disease

  Our Structural Heart and Valvular Disease Program evaluates and cares for pulmonary valve disease. In many cases, we can treat these conditions with a minimally invasive approach, avoiding the need for open-chest surgery. […] Treatment depends on your particular disease type and its severity. In severe cases, your doctor may recommend repairing or replacing your pulmonary valve. […] Pulmonary valve repair and replacement procedures include minimally invasive and traditional surgery, as well as several types of replacement material. […] Transcatheter pulmonary valve replacement (TPVR) is a minimally invasive option to replace a damaged pulmonary valve that reduces blood flow from the heart to the lungs.

• #22 How A Novel Technology Is Helping Solve a Longtime Challenge of Treating Children With Pulmonary Valve Disease – Advances in Pediatric Cardiology | NewYork-Presbyterian

  https://www.nyp.org/advances/article/pediatric-cardiology/how-a-novel-technology-is-helping-solve-a-longtime-challenge-of-treating-children-with-pulmonary-valve-disease

  Every year approximately 6,300 children are born with pulmonary valve disease, and, in most cases, their treatment will involve a valve replacement at some point during their lives. […] The Autus Valve can be balloon expanded before its implanted to match the size of each individual patient and is sewn in via open heart surgery just like any other replacement valve. […] The expertise and resources we have at NewYork-Presbyterian and Columbia enable us to engage in incredibly innovative and groundbreaking research and provide the highest quality of care to our patients, which made our site a strong fit for trialing this new technology. […] We have implanted the Autus Valve in four patients so far at NewYork-Presbyterian and have another two that we are currently assessing. […] The Autus Valve technology has the potential to be completely disruptive to the field.

• #23 Valve Disease Treatment Program | Mass General Brigham

  https://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/heart/conditions/valve-disease

  In this unique program, specialists in valvular heart disease, cardiac imaging, interventional cardiology, cardiac surgery and cardiac anesthesia work together to fully diagnose and understand a patients valve condition, and provide personalized and comprehensive care to determine the best and most appropriate approach to treatment. […] Our heart team provides coordinated patient care for heart valve conditions, performing thorough assessments and customizing each patients treatment plan to meet their specific needs. Prior to your first visit, your care team will review your case, looking at all records and imaging studies to determine what additional tests or consults may be needed. When possible, we work with you to schedule those related appointments on the same day. […] Your care team will discuss with you whether or not medical or surgical intervention is necessary, and if so, which procedure is most appropriate.

• #24 Tricuspid & Pulmonic Valve Repair/Replacement – Brigham and Women’s Hospital

  https://www.brighamandwomens.org/heart-and-vascular-center/procedures/tricuspid-and-pulmonic-valve-repair-and-replacement

  The day of surgery, your care will be provided by surgeons, anesthesiologists and nurses who specialize in valve disease. […] After surgery, you will recover in the post-surgical care unit where you will receive comprehensive care by an experienced surgical and nursing staff. […] In addition to our cardiac surgeons, patients also benefit from the teamwork of medical cardiologists, interventional cardiologists, cardiovascular imaging experts and radiologists, and anesthesiologists, all experts in cardiovascular disease. They work alongside nurses, physician assistants, physical therapists, dietitians and social workers to achieve outstanding outcomes for our patients.

• #25

  https://journals.lww.com/md-journal/fulltext/2024/02230/perioperative_care_of_neonates_with_critical.67.aspx

  Summarizing the perioperative nursing experience in the successful treatment of 4 neonates with critical pulmonary stenosis (CPS). […] The specialty nursing-led multidisciplinary collaboration model significantly improves the professional competence of nurses from various specialties, promotes the integration and development of multispecialty disciplines, and provides better quality services for children, which is the key to improving the success rate of percutaneous balloon pulmonary valvuloplasty in neonates. […] The implementation of the multidisciplinary collaboration model led by specialized nursing, from the implementation of the operation of the child, the precise implementation of the medical and nursing program, the postoperative enhancement of the observation and care of complications, which is conducive to the early recovery of the child, and all efforts to ensure the perioperative safety of the child, significantly improve the professional competence of nurses of all specialties, promote the development of multidisciplinary, and provide high-quality services for the children, is to improve the success rate of PBPV in neonates The key to improve the success rate of neonatal PBPV.

• #26 Pulmonary Valve Stenosis | Causes, Diagnosis, Treatment | Children’s Wisconsin

  https://childrenswi.org/medical-care/herma-heart/conditions/pulmonary-stenosis

  After pulmonary valve surgery, your child will go to the cardiac intensive care unit (CICU). […] Your child may need other equipment not mentioned here to provide support while in the ICU, or afterwards. The hospital staff will explain all of the necessary equipment to you. […] Your child will be kept as comfortable as possible with several different medications; some which relieve pain, and some which relieve anxiety. […] After being discharged from the ICU, your child will recuperate in another hospital unit for a few days before going home. You will learn how to care for your child at home before your child is discharged.

• #26 Pulmonary Valve Stenosis | Causes, Diagnosis, Treatment | Children’s Wisconsin

  https://childrenswi.org/medical-care/herma-heart/conditions/pulmonary-stenosis

  Pulmonary valve stenosis is a congenital (present at birth) defect that occurs due to abnormal development of the fetal heart during the first 8 weeks of pregnancy. […] With pulmonary valve stenosis, problems with the pulmonary valve make it harder for the leaflets to open and permit blood to flow forward from the right ventricle to the lungs. […] Mild pulmonary valve stenosis often does not require treatment. Moderate or severe pulmonary valve stenosis is treated with repair of the obstructed valve. Several options are currently available. […] Some infants will be very sick, require care in the cardiac intensive care unit (CICU) prior to the procedure, and could possibly even need emergency repair of the pulmonary valve if the stenosis is severe. […] Children who do not require immediate repair in infancy may need to receive antibiotics to prevent an infection of the inner surfaces of the heart known as bacterial endocarditis prior to procedures such as a routine dental check-up and teeth cleaning.

• #27 Pulmonary Valve Disease: Types & Symptoms

  https://my.clevelandclinic.org/health/diseases/pulmonary-valve-disease

  Your child may be in the hospital for one or two weeks after surgery for pulmonary atresia. It can take weeks or months to recover after surgery for pulmonary valve regurgitation. After a valvuloplasty for pulmonary stenosis, avoid doing anything strenuous for about a week. […] The outlook is good for people who have mild or moderate pulmonary valve regurgitation. For those with more severe disease, the outlook depends on how quickly they get treatment.

• #28 Valvular heart disease | Heart and Stroke Foundation

  https://www.heartandstroke.ca/heart-disease/conditions/valvular-heart-disease

• #29 Pulmonary Stenosis | Children’s Hospital of Philadelphia

  https://www.chop.edu/conditions-diseases/pulmonary-stenosis

  Treatment for pulmonary stenosis will depend on your child’s heart anatomy and function. For children with mild pulmonary stenosis, treatment is not usually needed. However, if your child has moderate, severe or life-threatening pulmonary stenosis, treatment is needed and may include the following. […] All patients with pulmonary valve disease will need lifelong follow-up with a cardiologist. […] Children with pulmonary stenosis require regular checkups with a pediatric cardiologist throughout their lives. Some children must also stay on medicine and may need to limit their physical activity. […] At CHOP, our pediatric cardiologists work with pediatricians and follow patients until they are young adults. When your child reaches young adulthood, we can help with the transition to an adult cardiologist.

• #30 Clinical Practice Algorithm For the Follow-Up of Pulmonary Stenosis Pre- and Post-Intervention

  https://www.acc.org/Latest-in-Cardiology/Articles/2023/05/16/10/31/Clinical-Practice-Algorithm-For-the-Follow-Up-of-Pulmonary-Stenosis-Pre-and-Post-Intervention

  Infants with more than mild pulmonary stenosis (PS) require close clinical follow-up, as it is most likely to progress in the first weeks to months of life. […] Patients following intervention for isolated PS with residual stenosis or resultant regurgitation need continued follow-up and may require additional diagnostic tests to guide management. […] The post-intervention algorithm guides management and follow-up after catheter-based or surgical intervention. This starts with standard clinical follow-up and testing requirements after initial discharge post-intervention. […] The algorithm is designed to provide general guidance for management of PS, but there may be clinical scenarios where closer follow-up may be warranted. In such cases, independent physician judgment should supersede the algorithm recommendations. […] The PS clinical practice algorithms can be utilized by physicians and healthcare providers as a support tool for decision making. A standardized and systematic approach aims to reduce practice variation and improve resource utilization.

• #31 Pulmonary stenosis | Children’s Health Queensland

  https://www.childrens.health.qld.gov.au/health-a-to-z/cardiac/pulmonary-stenosis

  Pulmonary stenosis is a type of heart valve disease that involves the narrowing of the pulmonary valve, which controls the flow of blood from the heart’s right ventricle into the pulmonary artery and to the lungs. […] Treatment for pulmonary stenosis depends on a child’s age, overall health, and degree of stenosis. It can often be treated with a procedure called a balloon valvuloplasty, in which a balloon is inflated inside the valve to stretch it. In cases of severe pulmonary stenosis, surgery may be required to repair or replace the valve. […] Pulmonary stenosis can be a lifelong condition. A child will need to see a cardiologist regularly to check on the functioning of the pulmonary valve. Children and teens who have moderate to severe pulmonary stenosis need to talk with their cardiologist about their activity levels and sport. […] Fast diagnosis and treatment of pulmonary valve stenosis can help reduce the risk of complications, including infective endocarditis, irregular heartbeats (arrhythmias), thickening of the heart muscle walls (hypertrophy), and heart failure.

• #32 Pulmonary Valve Stenosis Quality of Life | Living With Pulmonary Valve Stenosis TAVR

  https://resources.healthgrades.com/right-care/aortic-valve-replacement/pulmonary-valve-stenosis-4-ways-to-improve-quality-of-life

  Pulmonary valve stenosis is the narrowing of the valve that separates the heart’s right ventricle from the pulmonary artery. As a result, the heart has to work harder to pump blood. […] Fortunately, most people can have a full and healthy life if they’re living with pulmonary stenosis. They just have to be deliberate about monitoring their condition and addressing any changes in symptoms, which may mean replacing their pulmonary valve. […] People with damaged or abnormal heart valves are at increased risk for developing endocarditis. Endocarditis is inflammation of the lining of the heart’s valves and chambers that’s usually caused by a bacterial infection. […] At some point, people who have a moderate to severe case of pulmonary valve stenosis may realize that their symptoms are worsening, and it’s harder for them to carry out their activities of daily living. At this point, their doctor may suggest a procedure or surgery to improve the flow of blood.

• #32 Pulmonary Valve Stenosis Quality of Life | Living With Pulmonary Valve Stenosis TAVR

  https://resources.healthgrades.com/right-care/aortic-valve-replacement/pulmonary-valve-stenosis-4-ways-to-improve-quality-of-life

  The right treatment for pulmonary valve stenosis can make a big difference in your quality of life. In fact, the long-term prognosis for most people who undergo balloon valvuloplasty or valve replacement is excellent, according to the American Heart Association (AHA). […] Complications, like heart failure or heart arrhythmia, can arise from pulmonary stenosis. If you are the parent of a child with pulmonary stenosis, be vigilant about the appearance or worsening of symptoms like fatigue, swelling of the extremities, face or abdomen, a rapid heart rate and breathing problems. Don’t hesitate to contact your child’s doctor and ask how to proceed. If you’re the one with pulmonary stenosis, just keep an eye out on your own symptoms and notify your doctor if anything seems unusual.

• #33 Pulmonary Valve Stenosis | Conditions | UCSF Benioff Children’s Hospitals

  https://www.ucsfbenioffchildrens.org/conditions/pulmonary-valve-stenosis

  Pulmonary valve stenosis is a narrowing of a valve, called the pulmonary valve, that regulates the flow of blood from the right ventricle of the heart to the lungs. The defect may force the heart to pump harder, leading to an enlarged heart. […] Treatment for pulmonary valve stenosis depends on the severity of the condition and age of the patient. […] Babies, children and young adults may be treated in our Pediatric Cardiac Catheterization Laboratory with a procedure called balloon valvuloplasty. This procedure involves inserting a catheter a thin, flexible, plastic tube into a blood vessel in the leg and then threading it through the blood vessel to the heart. A balloon at the tip of the catheter is inserted into the narrow opening in the valve and inflated to stretch the valve and separate the valve leaflets. […] It is important to note that patients who have pulmonary valve stenosis should take antibiotics to avoid heart infection during surgery or dental work.

• #34 Pulmonary Valve Disease | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/pulmonary-valve-disease

  The Congenital Heart Valve Program at Boston Childrens specializes in the care and treatment of pulmonary valve disease. Our team carefully considers two approaches pulmonary valve repair and pulmonary valve replacement when treating pulmonary valve disease. The approach depends on the patients condition, severity of the disease, their heart anatomy, and overall health. […] We always first focus on pursuing less-invasive repair approaches that help children avoid surgery altogether and give them a better chance at improved health, potentially reducing the number of operations they might need later in life. There are two primary ways we can repair or reconstruct the diseased pulmonary valve: […] Not all patients are candidates for pulmonary valve repair and instead need a replacement valve. There are several proven commercially available replacement pulmonary valves; our team has the expertise to determine which one is best for a patient.

• #35 Transcatheter Pulmonary Valve Replacement

  https://www.mhs.net/services/heart-and-vascular-institute/conditions-treatments-services/tpvr

  When the pulmonary valve doesn’t work properly, it can interrupt blood flow from your heart to your lungs. […] Adults with congenital heart disease who have had a previous pulmonary valve surgery may experience a blocked or leaky (regurgitation) pulmonary heart valve later in life that normally requires open-heart surgery to repair. […] Memorial Cardiac and Vascular Institute is one of the only teams in South Florida that can perform a minimally invasive transcatheter pulmonary valve replacement (TPVR) to restore function to the valve. […] Some of the benefits of TPVR include a delay in the next open-heart surgery, shorter hospital stay, and a quicker recovery time so you can return to your normal activities. […] If you had a previous congenital heart disease surgery as a child or adult, we can restore function to your pulmonary valve with the Harmony TPV using a minimally invasive procedure as opposed to open-heart surgery. […] Our heart team meets weekly to discuss every case. We look at heart imaging, patient information and risks. Then we decide on a case-by-case basis which treatment is appropriate for each patient.

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