{"id":226,"date":"2018-02-06T16:48:05","date_gmt":"2018-02-06T16:48:05","guid":{"rendered":"https:\/\/wp.uthscsa.edu\/ct-surgery\/?page_id=226"},"modified":"2020-07-31T18:28:44","modified_gmt":"2020-07-31T18:28:44","slug":"pulmonary-stenosis-ps","status":"publish","type":"page","link":"https:\/\/lsom.uthscsa.edu\/ct-surgery\/patient-care\/congenital-heart\/conditions-we-treat\/pulmonary-stenosis-ps\/","title":{"rendered":"Pulmonary Stenosis (PS)"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-227 alignleft\" src=\"https:\/\/lsom.uthscsa.edu\/ct-surgery\/wp-content\/uploads\/sites\/32\/2018\/02\/pulmonary-stenosis.jpg\" alt=\"\" width=\"330\" height=\"277\" srcset=\"https:\/\/lsom.uthscsa.edu\/ct-surgery\/wp-content\/uploads\/sites\/32\/2018\/02\/pulmonary-stenosis.jpg 525w, https:\/\/lsom.uthscsa.edu\/ct-surgery\/wp-content\/uploads\/sites\/32\/2018\/02\/pulmonary-stenosis-300x252.jpg 300w\" sizes=\"auto, (max-width: 330px) 100vw, 330px\" \/>Pulmonary stenosis at the valvar level accounts for 8-10% of all congenital heart defects. \u00a0Presentation depends on the severity of the stenosis and the presence of an ASD.<\/p>\n<p>Patients present as infants with a harsh systolic ejection murmur. \u00a0CXR may show a prominent pulmonary artery shadow secondary to post-stenotic dilation.\u00a0 Echocardiography is used to establish the diagnosis and severity, and associated abnormalities.\u00a0 Cardiac catheterization may be performed for balloon valvotomy.<\/p>\n<p>Treatment is indicated if symptoms are present or the transvalvar pressure gradient is significant.\u00a0 Catheterization with balloon valvotomy is the preferred initial treatment, and may be attempted in cases of recurrent stenosis.\u00a0 Most patients will have pulmonary insufficiency after valvotomy, but it is usually well tolerated.\u00a0 Open surgical pulmonary valvotomy is indicated in cases of failed balloon valvotomy.\u00a0 A trans-annular patch can be placed to enlarge a small annulus.\u00a0 Long-term outcomes are excellent.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pulmonary stenosis at the valvar level accounts for 8-10% of all congenital heart defects. \u00a0Presentation depends on the severity of the stenosis and the presence of an ASD. Patients present as infants with a harsh systolic ejection murmur. \u00a0CXR may show a prominent pulmonary artery shadow secondary to post-stenotic dilation.\u00a0 Echocardiography is used to establish [&hellip;]<\/p>\n","protected":false},"author":161,"featured_media":0,"parent":1337,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-226","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Pulmonary Stenosis (PS) - Cardiothoracic Surgery<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lsom.uthscsa.edu\/ct-surgery\/patient-care\/congenital-heart\/conditions-we-treat\/pulmonary-stenosis-ps\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pulmonary Stenosis (PS) - Cardiothoracic Surgery\" \/>\n<meta property=\"og:description\" content=\"Pulmonary stenosis at the valvar level accounts for 8-10% of all congenital heart defects. \u00a0Presentation depends on the severity of the stenosis and the presence of an ASD. 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