Your browser doesn't support javascript.
loading
Balloon Valvuloplasty to Treat Adult Symptomatic Pulmonary Valve Stenosis with Sequential Follow-Up Using Cardiac Magnetic Resonance Imaging in Combination with Echocardiography.
Ishii, Satoshi; Fujiwara, Takayuki; Ando, Jiro; Takeda, Norifumi; Inaba, Toshiro; Inuzuka, Ryo; Komuro, Issei.
Afiliación
  • Ishii S; Department of Cardiovascular Medicine, The University of Tokyo Hospital.
  • Fujiwara T; Department of Cardiovascular Medicine, The University of Tokyo Hospital.
  • Ando J; Department of Cardiovascular Medicine, The University of Tokyo Hospital.
  • Takeda N; Department of Cardiovascular Medicine, The University of Tokyo Hospital.
  • Inaba T; Department of Cardiovascular Medicine, The University of Tokyo Hospital.
  • Inuzuka R; Department of Pediatrics, The University of Tokyo Hospital.
  • Komuro I; Department of Cardiovascular Medicine, The University of Tokyo Hospital.
Int Heart J ; 61(5): 1075-1078, 2020 Sep 29.
Article en En | MEDLINE | ID: mdl-32921664
ABSTRACT
Pulmonary valve stenosis (PVS) accounts for approximately 10% of all congenital heart defects. Echocardiography and right heart catheterization are the gold standards for diagnosis of PVS and for assessing disease severity and responsiveness to treatment.Recently, cardiac magnetic resonance imaging (cMRI) has been established as an important tool to comprehensively evaluate cardiac structure and function; however, research into the usefulness of cMRI for PVS management is limited. Here, we describe a case of a 59-year-old female with isolated, severe PVS who was successfully treated with balloon pulmonary valvuloplasty (BPV) followed by sequential cMRI at 1 and 12 months. Exertional dyspnea and elevated plasma BNP concentration were observed 1 month after BPV; however, echocardiographic findings did not indicate recurrent stenosis or increased pulmonary valve regurgitation but an increase in mitral E/e'. cMRI demonstrated improved systolic forward flow and RV function with enlargement of LV volume, and the rapid increase in LV preload might be associated with the transient deterioration in symptoms and BNP level, which both gradually improved within 3 months after BPV. cMRI further depicted that a reduced RV mass index and increased RV cardiac output were achieved gradually during the follow-up period.In conclusion, cMRI in combination with echocardiography was sufficiently informative to follow-up this PVS patient both before and after BPV. cMRI is easily reproducible in adult patients; therefore, cMRI should be recommended for long-term follow-up in adult PVS patients.
Asunto(s)
Palabras clave

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Estenosis de la Válvula Pulmonar / Imagen por Resonancia Magnética / Ecocardiografía / Recuperación de la Función / Valvuloplastia con Balón Tipo de estudio: Diagnostic_studies / Guideline Límite: Female / Humans / Middle aged Idioma: En Año: 2020 Tipo del documento: Article

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Estenosis de la Válvula Pulmonar / Imagen por Resonancia Magnética / Ecocardiografía / Recuperación de la Función / Valvuloplastia con Balón Tipo de estudio: Diagnostic_studies / Guideline Límite: Female / Humans / Middle aged Idioma: En Año: 2020 Tipo del documento: Article