Question of the Week

Question :

Posted On : 16 Sep 2005

6years male presents with exertional dyspnea,no cyanosis. Ecg and Echo plus clinical exam prove pulmonary stenosis. How to follow and manage such case?

Expert Answer :

No expert answer available.

Answer Discussion :

surender

balloon dilatation

19 years ago

Dr. M Natarajan

surgery

19 years ago

Naveed Ur Rehman

Refere to Paediatric cardiologist for cardiac catheterization and in the light of these findings treatment is directed either medical or surgical

19 years ago

Michele P. Monaco

If there is true exertional dyspnea and the physical and Doppler examination demonstrates the presence of a significant pulmonary gradient it is a clear indication for intervention. Unless there is an obvious dyplastic pulmonary valve then the use of pulmonary balloon valvotomy would be appropriate. If the valve is dysplastic then balloon valvotomy may be ineffective and the family counselled that surgery will likely be necessary. Dyspnea in the presence of pulmonary valve stenosis would not be expected unless there it is severe pulmonary stenosis which can be present without cyanosis.

19 years ago

meenal lakshmanan

what is th3 severity of stenosis? any evidencece of heart failure.?
if severe refer to cardisthoracic surgeon for repair of stenosis

19 years ago

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