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Review
. 2023 Jun 30:19:379-390.
doi: 10.2147/VHRM.S380240. eCollection 2023.

Pulmonary Valve Stenosis: From Diagnosis to Current Management Techniques and Future Prospects

Federico Marchini  1 , Sofia Meossi  1 , Giulia Passarini  1 , Gianluca Campo  1 , Rita Pavasini  1
Affiliations
Review

Pulmonary Valve Stenosis: From Diagnosis to Current Management Techniques and Future Prospects

Federico Marchini et al. Vasc Health Risk Manag. .

Abstract

Pulmonary stenosis (PS) is mainly a congenital defect that accounts for 7-12% of congenital heart diseases (CHD). It can be isolated or, more frequently, associated with other congenital defects (25-30%) involving anomalies of the pulmonary vascular tree. For the diagnosis of PS an integrated approach with echocardiography, cardiac computed tomography and cardiac magnetic resonance (CMR) is of paramount importance for the planning of the interventional treatment. In recent years, transcatheter approaches for the treatment of PS have increased however, meaning surgery is a possible option for complicated cases with anatomy not suitable for percutaneous treatment. The present review aims to summarize current knowledge regarding diagnosis and treatment of PS.

Keywords: percutaneous treatment; pulmonary valve stenosis; valvotomy; valvuloplasty.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Multimodality imaging evaluation of PS. (A) PSAX view with Color Doppler showing flow turbulence in RVOT*; (B) CW Doppler of severe PS; (C) Reduce PV opening† on SSFP cine imaging; (D) PA trunk dilatation with flow turbulence due to Jet lesion.
Figure 2
Figure 2
Flow chart for the management of patients with PS.
See this image and copyright information in PMC

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