Pulmonary Valve Disease Flashcards
1
Q
Identify three causes of pulmonary stenosis
A
- Fallot’s tetralogy
- Rheumatic heart disease
- Carcinoid syndrome
2
Q
Identify three clinical features of pulmonary stenosis
A
- Syncope
- Angina
- Dyspnoea
3
Q
What is the definitive investigation in pulmonary stensosis?
A
- Doppler echocardiography
4
Q
What is the management of mild pulmonary stenosis?
A
- Observation
5
Q
What is the management of moderate pulmonary stenosis?
A
- Percutaneous pulmonary ballon valvuloplasty
6
Q
What is the management of severe pulmonary stenosis?
A
- Surgical valvotomy
7
Q
Identify two causes of pulmonary regurgitation
A
- Pulmonary hypertension
- Eisenmenger’s syndrome
8
Q
How does pulmonary regurgitation normally present?
A
- Asymptomatic
9
Q
What is heart on auscultation in pulmonary regurgitation?
A
- Early diastolic decrescendo murmur at left sternal edge (Graham steel murmur)
10
Q
What is the management of pulmonary regurgitation?
A
- Rarely necessary
- Pulmonary valve replacement
- Treatment of heart failure if severe
