title: Operative timing for absent pulmonary valve with obstructive sleep apnea.
abstract: Congenital absence of the pulmonary valve appears to have a prolonged fate, despite substantial regurgitation, thus the optimal timing of surgical correction remains unclear. A 53-year-old man with isolated pulmonary regurgitation accompanied by obstructive sleep apnea developed progressive heart failure after reopening of the foramen ovale. Closure of the interatrial shunt and pulmonary valve replacement with a 25-mm mechanical prosthesis relieved his refractory left heart failure.
authors.affiliation: Department of Surgery, Monash Medical Center, Monash University, Clayton, Australia. yoshimmc@river.ocn.ne.jp
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Hayashi
authors.forename: Garry J
authors.initials: GJ
authors.lastname: Barron
authors.forename: Aubrey A
authors.initials: AA
authors.lastname: Almeida
mesh_terms: D054092:Foramen Ovale, Patent / Q000150:complications / Q000601:surgery; D006333:Heart Failure / Q000209:etiology / Q000601:surgery; D006349:Heart Valve Diseases / Q000150:complications / Q000151:congenital / Q000601:surgery*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation; D006801:Humans; D008297:Male; D008875:Middle Aged; D011664:Pulmonary Valve / Q000002:abnormalities / Q000601:surgery*; D011665:Pulmonary Valve Insufficiency / Q000209:etiology / Q000601:surgery; D012008:Recurrence; D020181:Sleep Apnea, Obstructive / Q000150:complications* / Q000601:surgery; D013997:Time Factors