Pulmonruy stenosis is relatively rare but it appears to be well tolerated during pregnancy. Clinically presents with symptoms of fatiguability and if severe, with features of right heart failure - elevated jugular venous pressure, enlasged lever and edema. There will be features of right ventricular hypertrophy, ejection click, ejection systolic murmur and soft pulmonary second sound in pulmonary area, Electro cardio gsam may show right atrial enlargement and right ventricular hypertrophy. 2D ECHO and Doppler studies help in the precise diagnosis.'significailt pulmonary stenosis needs to be cosrected before pregnancy. However, even duiing pregnancy balloon valvuloplasty may be feasible if syinptoms of pulmonary stenosis progress.Pulmonary stenosis associated with cyanotic congential heart diseases has worse prognosis.
In general, it is always better to treat the pre-existing valve lesions either by percutaneous balloon method 01. by surgical methods before pregnancy. In severe lesions it is advisable to avoid pregnancy, In the ' h g therapy, angiotensin convertiilg enzyme inhibitors and angiotensin-I1 receptor blockers are avoided in pregnancy as these may cause fetal death due to renal toxicity.
In general, it is always better to treat the pre-existing valve lesions either by percutaneous balloon method 01. by surgical methods before pregnancy. In severe lesions it is advisable to avoid pregnancy, In the ' h g therapy, angiotensin convertiilg enzyme inhibitors and angiotensin-I1 receptor blockers are avoided in pregnancy as these may cause fetal death due to renal toxicity.
No comments:
Post a Comment
Note: Only a member of this blog may post a comment.