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Cardiosurgery: Pulmonary valve insufficiency — Pulmonary valve repair. Treatment

Pulmonary valve insufficiency is a rare heart defect characterized by poor closing of the valve leaflets in the pulmonary artery, resulting in an inverse flow of blood, which increases the venous pressure. The frequency of the pulmonary valve insufficiency (PVI) is less than 1% of all diagnosed defects. This defect is formed either in utero or after birth under the influence of rheumatic and systemic diseases, infectious agents, or atherosclerosis.

Conservative Treatment Principles

Upon asymptomatic PVI, the treatment involves check-ups by a cardiologist and lifestyle adjustment subject to a moderate limitation of physical activity. Slight decompensation is the indication for conservative therapy aimed at maintaining the cardiac activity:

  • diuretics reduce the venous stasis;
  • ACE inhibitors monitor the blood pressure, and improve the condition of vessels and heart;
  • nitrates are used to reduce the pressure in the pulmonary circulation;
  • metabolic agents.

Treatment should be comprehensive and include the treatment of the underlying disease causing the heart disease.

Surgical Correction of the Pulmonary Valve Insufficiency

PVI surgical treatment is indicated for hemodynamic instability progression. The feasibility of surgical correction of the defect is determined by a physician taking into account the patient’s complaints and a comprehensive survey findings. There are several methods of PVI surgical treatment.

  • Valve plastics is carried out for intact leaflets without calcification and severe deformity. Depending on the nature of the structure violation, the annulus is sutured or reinforced with a synthetic frame.
  • Valve prosthetics is used in a situation where the profound changes are detected in its structure. Surgery implies excision of the damaged structures and implantation of the prosthesis. Mechanical prostheses are made of medical alloys; biological prostheses are made of specially treated animal tissues.
  • Heart-lung complex transplantation is indicated upon extremely severe disease progress. Traumatism of such an intervention, high requirements for the operating surgeon and the entire team, as well as complexity of choosing a compatible donor are the reasons for an extremely rare performed of such a surgery.
  • Correction of a set of heart defects is required for patients combining PVI with other defects.

The correct choice of the pulmonary valve insufficiency treatment and timely measures help increase the life expectancy and improve its quality substantially.

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See also for pulmonary valve insufficiency:

HELIOS Clinic for Heart Surgery Karlsruhe

9.9/10 from 17 Votes

Department of Cardiac Surgery

Treatment of pulmonary valve insufficiency with surgical repair #50051

The Department provides treanment for a whole spectrum of adult cardiac surgical diseases, with exception of the heart and lung transplantation.


location_onCountry: Germany
location_searchingCity: Karlsruhe

University Hospital Oldenburg

10/10 from 33 Votes

Department of Cardiac Surgery

Treatment of pulmonary valve insufficiency with surgical repair #361509

The Department of Cardiac Surgery offers the full range of services in this medical field. Many heart operations are performed minimally invasively, which has a positive effect on wound healing, the patient experiences less pain, and the period of hospitalization is significantly reduced.


location_onCountry: Germany
location_searchingCity: Oldenburg

University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiothoracic Surgery

Treatment of pulmonary valve insufficiency with surgical repair #78155

According to the Focus magazine rating of 2017, the Department of Cardiothoracic Surgery at the University Hospital Cologne ranks among the top German departments specializing in cardiac surgery! There are performed over 2,800 operations every year.


location_onCountry: Germany
location_searchingCity: Cologne
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HELIOS Clinic Krefeld

9.7/10 from 38 Votes

Department of Adult and Pediatric Cardiovascular Surgery

Treatment of pulmonary valve insufficiency with surgical repair #383036

The Department of Adult and Pediatric Cardiovascular Surgery offers the full range of services in this medical focus. The department specializes in heart valves surgery, coronary artery bypass grafting, surgical treatment of cardiac arrhythmias and heart failure.


location_onCountry: Germany
location_searchingCity: Krefeld

University Hospital Muenster

9.8/10 from 78 Votes

Department of Congenital (CHD) and Acquired Heart Defects

Treatment of pulmonary valve insufficiency with surgical repair #139927

The Department of Congenital (CHD) and Acquired Heart Defects at the University Hospital Muenster is the first Center of Excellence specializing in the treatment of adults with congenital and acquired heart defects on both outpatient and inpatient basis. The second focus is the treatment of acquired defects (e. g.


location_onCountry: Germany
location_searchingCity: Muenster

University Hospital Frankfurt am Main

10/10 from 97 Votes

Department of Cardiac, Thoracic and Vascular Surgery

Treatment of pulmonary valve insufficiency with surgical repair #74741

According to the Focus magazine rating of 2017, the Department of Cardiac, Thoracic and Vascular Surgery ranks among the top German departments specializing in cardiac surgery! The department is a distinguished institution in this field of medicine.


location_onCountry: Germany
location_searchingCity: Frankfurt am Main
certificatecertificatecertificate

Hirslanden Clinic Aarau

9.9/10 from 15 Votes

Department of Cardiosurgery

Treatment of pulmonary valve insufficiency with surgical repair #89865

The cardiac surgery department of the Hirslanden clinic Aarau was rebuilt since Prof. Dr. med. Thierry Carrel and PD Dr. med Lars Englberger worked here. Both of them are recognized cardiac experts. Prof. Carrel is the director at Inselspital and PD Dr.


location_onCountry: Switzerland
location_searchingCity: Aarau
certificatecertificate

Hannover Medical School

9.8/10 from 43 Votes

Department of Cardiac, Thoracic, Transplantation and Vascular Surgery

Treatment of pulmonary valve insufficiency with surgical repair #245221

The Department of Cardiac, Thoracic, Transplantation and Vascular Surgery at the Hannover Medical School is famous for being one of the leading medical facilities in the world.


location_onCountry: Germany
location_searchingCity: Hannover

Rambam Health Care Campus Haifa

9.8/10 from 23 Votes

Department of Cardiac Surgery

Treatment of pulmonary valve insufficiency with surgical repair #327460

The Department of Cardiac Surgery at Rambam Health Care Campus specializes in performing open and closed heart operations. There is offered a broad spectrum of surgical heart procedures, while the most common of these are coronary artery bypass surgery, valvular heart surgery and a combination of the two.


location_onCountry: Israel
location_searchingCity: Haifa

University Hospital Essen

9.6/10 from 23 Votes

Department of Thoracic and Cardiovascular Surgery

Treatment of pulmonary valve insufficiency with surgical repair #292047

The Department of Thoracic and Cardiovascular Surgery at the Essen University Hospital offers the full range of services in the treatment of heart diseases, requiring surgery, including transplant of chest organs, heart and lung support systems and aortic surgery.


location_onCountry: Germany
location_searchingCity: Essen

University Hospital RWTH Aachen

9.5/10 from 41 Votes

Department of Thoracic, Vascular Surgery and Cardiac Surgery

Treatment of pulmonary valve insufficiency with surgical repair #106297

The Department of Thoracic and Cardiovascular Surgery offers the entire spectrum of cardiothoracic surgery, including heart transplantation and the use of artificial heart systems. A special focus is on the development and the use of minimally invasive surgical techniques.


location_onCountry: Germany
location_searchingCity: Aachen
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University Hospital Duesseldorf

9.5/10 from 71 Votes

Department of Cardiovascular and Thoracic Surgery

Treatment of pulmonary valve insufficiency with surgical repair #82697

The Department of Cardiovascular Surgery at the University Hospital Dusseldorf provides the whole range of cardiovascular medicine at the university level. The Department has a long and successful history. Since 1938 more than 50,000 cadiac surgeries were performed here.


location_onCountry: Germany
location_searchingCity: Duesseldorf
certificatecertificatecertificatecertificate

University Hospital Bonn

9.2/10 from 150 Votes

Department of Cardiac Surgery

Treatment of pulmonary valve insufficiency with surgical repair #88307

The Department of Cardiac Surgery offers the complete spectrum of cardiac surgery services except heart transplantation.


location_onCountry: Germany
location_searchingCity: Bonn
certificatecertificatecertificate

University Hospital Tuebingen

9.2/10 from 55 Votes

Department of Thoracic and Cardiovascular Surgery

Treatment of pulmonary valve insufficiency with surgical repair #137445

The range of surgical services of the Department of Thoracic and Cardiovascular Surgery at the University Hospital Tubingen covers all surgical and interventional operations in the corresponding fields up to the transplant surgery.


location_onCountry: Germany
location_searchingCity: Tuebingen
certificatecertificate

University Hospital Hamburg-Eppendorf

9.2/10 from 92 Votes

Department of Cardiovascular Surgery

Treatment of pulmonary valve insufficiency with surgical repair #298635

The Department of Cardiovascular Surgery at the University Medical Center Hamburg-Eppendorf covers the full range of heart diseases requiring surgery – from children with congenital defects up to older patients.


location_onCountry: Germany
location_searchingCity: Hamburg

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

Department of Cardiac Surgery

Treatment of pulmonary valve insufficiency with surgical repair #154657

Performing annually more than 1000 surgeries on the heart, the department of cardiac surgery belongs to the largest centers of cardiac surgery in Munich. Here, the whole range of cardiovascular diseases is treated in adult patients, from emergency cases to heart attack.


location_onCountry: Germany
location_searchingCity: Munich




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