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Pulmonary (or pulmonic [4]) regurgitation (or insufficiency, incompetence) is a condition in which the pulmonary valve is incompetent [5] and allows backflow from the pulmonary artery to the right ventricle of the heart during diastole. [6] While a small amount of backflow may occur ordinarily, it is usually only shown on an echocardiogram and ...
Long-term outcome is usually excellent for most patients, however residual post-surgical defects such as pulmonary regurgitation, pulmonary artery stenosis, residual VSD, right ventricular dysfunction, right ventricular outflow tract obstruction may affect life expectancy and increase the need for reoperation. [20]: 205
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A Graham Steell murmur is a heart murmur typically associated with pulmonary regurgitation. [ 1 ] [ 2 ] It is a high pitched early diastolic murmur heard best at the left sternal edge in the second intercostal space with the patient in full inspiration , originally described in 1888.
Pulmonary valve diseases are the least common heart valve disease in adults. [1] [4] Pulmonary valve stenosis is often the result of congenital malformations and is observed in isolation or as part of a larger pathologic process, as in Tetralogy of Fallot, Noonan syndrome, and congenital rubella syndrome. Unless the degree of stenosis is severe ...
Since the main causes of right ventricular hypertrophy is tricuspid regurgitation or pulmonary hypertension (discussed above), management involves treatment of these conditions. [3] Tricuspid regurgitation is typically treated conservatively by aiming to treat the underlying cause and following up the patient regularly. [ 12 ]
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The pathophysiology of pulmonary heart disease (cor pulmonale) has always indicated that an increase in right ventricular afterload causes RV failure (pulmonary vasoconstriction, anatomic disruption/pulmonary vascular bed and increased blood viscosity are usually involved [1]), however most of the time, the right ventricle adjusts to an overload in chronic pressure.