[Isolated agenesis of the pulmonary valve in the adult. When is the proper time for surgery?].
The congenital absence of the pulmonary valves is a rare malformation that mainly affects children, frequently is associated with other cardiac malformations and very rarely is present in adults. Elective or urgent surgery is indicated in the symptomatic child; on the other hand, surgical treatment in the asymptomatic adult with this anomaly is controversial. Based on the reported experience in the literature, in the present article, the authors discuss the therapeutic approach of an asymptomatic 22-year-old male with pulmonary valvular absence with practically no hemodynamic repercussion. Although there had been few reported cases of isolated pulmonary valvular absence, the authors concluded that surgery is not a satisfactory solution and that it might be postponed to the time that patients develop congestive heart failure and or respiratory insufficiency. In order to detect that on time, we recommend a follow up based on periodic echocardiographic studies.
Rangel-Abundis
A
A
Departamento de Hemodinamia, Hospital de Especialidades, Centro Médico La Raza, IMSS, México, D.F.
Chávez-Pérez
E
E
Badui
E
E
García
P
P
Enciso
R
R
Sánchez Moreira
L M
LM
Zamora
C
C
Marín
G
G
D000328:Adult; D006328:Cardiac Catheterization; D002932:Cineangiography; D004452:Echocardiography; D015150:Echocardiography, Doppler; D004562:Electrocardiography; D006801:Humans; D008297:Male; D011664:Pulmonary Valve / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D013997:Time Factors
En torno a la agenesia aislada de la válvula pulmonar en el adulto. Cuál es el momento quirúrgico?