Pulmonary Valve Stenosis—Child

Definition

Pulmonary valve stenosis is when the pulmonary valve is thickened or can't open fully.

The heart pumps blood out of the right side of the heart, through the pulmonary valve, to the lungs. When this valve is not working properly it can decrease the amount of blood going to the lungs for oxygen or increase the work the heart muscle has to do to maintain it. Blood can also back up into the heart. The condition can be mild to severe.

Heart Chambers and Valves
heart anatomy
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Blood Flow Through the Heart
IMAGE
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Causes

Pulmonary stenosis is caused by abnormal development of the heart valve before birth. In most cases, it is not known exactly why it happens.

Risk Factors

Factors that may increase the risk of pulmonary valve stenosis may include:

  • Family history of congenital heart defect
  • Certain chromosomal disorders
  • Other heart defects
  • Previous pregnancy with fetal heart abnormalities or miscarriage
  • Being infected with a virus during pregnancy
  • Maternal smoking during pregnancy

Symptoms

Symptoms may include:

  • Heavy or rapid breathing
  • Shortness of breath
  • Blue or pale grayish skin color
  • Fatigue
  • Rapid heart rate
  • Swelling of the feet, ankles, eyelids, and abdomen
  • Urinating less

Your doctor may also detect a heart murmur in your child during a physical exam.

These symptoms may be caused by other severe conditions. If your child has any of these, talk to the doctor right away.

Diagnosis

The doctor will ask about your child’s symptoms and medical history. A physical exam will be done. Your doctor may suspect a heart valve problems if there is a heart murmur. To confirm the diagnosis, an electrocardiogram and images of the heart and its structures may be taken with:

Treatment

If your child has mild pulmonary valve stenosis, immediate treatment may not be needed. Your doctor will monitor your child's condition to look for potential problems. Other treatment options include:

Surgery

Your child may need surgery to prevent heart damage. Common types of heart valve surgery include:

  • Balloon valvuloplasty —A balloon is inflated in the valve to stretch out the surrounding tissue. This may provide temporary relief of symptoms but the valve may become blocked again.
  • Open heart surgery—to repair valves that can not be opened with balloon valvuloplasty.
  • Valve replacement—the valve is replaced with a mechanical or tissue valve

Complication Management

There are several steps your child can take to avoid some of the complications of pulmonary valve stenosis:

  • Get regular medical care. This includes basic checkups and heart tests.
  • Take antibiotics before any dental cleaning, dental work, or other invasive procedures if it is recommended by your doctor. Not all patients with valve stenosis need antibiotics for these procedures.
  • Eat a healthy diet that is low in salt. Work with the doctor or dietician to plan a healthy diet for your child. This may help decrease the pressure in your child’s heart and improve symptoms.
  • Monitor blood pressure at home. Inform the doctor if your child seems to be developing high blood pressure .

Prevention

Ways to prevent heart defects are not entirely clear and may not always be possible. However, good prenatal care may reduce your risk of having a child with a heart defect. During pregnancy:

  • Visit your obstetrician or midwife regularly. Prenatal ultrasound and certain genetic tests may detect a heart defect in a growing fetus.
  • Make sure you are practicing a healthy lifestyle. Practice nutritious eating habits and take prenatal vitamins.
  • Do not drink alcohol, smoke, or use drugs during pregnancy.

Revisions

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This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

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