Right ventricular outflow tract obstruction in right ventricular-pulmonary artery conduits or bioprosthetic valve: Difference between revisions
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==Recommendations for Reintervention in Patients With Right Ventricular–Pulmonary Artery Conduit or Bioprosthetic Pulmonary Valve Stenosis== | == Recommendations for Reintervention in Patients With Right Ventricular–Pulmonary Artery Conduit or Bioprosthetic Pulmonary Valve Stenosis == | ||
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| colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]] | | colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]] | ||
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| bgcolor="LightGreen"|<nowiki>"</nowiki>'''1.''' Surgeons with training and expertise in CHD should perform operations for patients with severe pulmonary | | bgcolor="LightGreen"|<nowiki>"</nowiki>'''1.''' Surgeons with training and expertise in CHD should perform operations for patients with severe pulmonary | ||
prosthetic valve stenosis (peak gradient greater than 50 mm Hg) or conduit regurgitation and any of the following:<nowiki>"</nowiki> | prosthetic valve stenosis (peak gradient greater than 50 mm Hg) or conduit regurgitation and any of the following:<nowiki>"</nowiki> | ||
a. Decreased exercise capacity.([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]]) | a. Decreased exercise capacity.([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]]) | ||
Revision as of 18:55, 5 October 2012
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Right ventricular outflow tract obstruction Microchapters |
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Classification |
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Differentiating Right ventricular outflow tract obstruction from other Diseases |
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Diagnosis |
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Treatment |
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Special Scenarios |
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Case Studies |
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Right ventricular outflow tract obstruction in right ventricular-pulmonary artery conduits or bioprosthetic valve On the Web |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Recommendation for Evaluation and Follow-Up After Right Ventricular-Pulmonary Artery Conduit or Prosthetic Valve[1]
| Class I |
| "1. After surgical relief of RVOT obstruction with a conduit or prosthetic valve, patients should be followed up on a 1- to 2-year basis with echocardiographyDoppler assessment of RV systolic pressure and function, as well as a measurement of the gradient across the RVOT. (Level of Evidence: C) " |
Recommendations for Reintervention in Patients With Right Ventricular–Pulmonary Artery Conduit or Bioprosthetic Pulmonary Valve Stenosis
| Class I |
| "1. Surgeons with training and expertise in CHD should perform operations for patients with severe pulmonary
prosthetic valve stenosis (peak gradient greater than 50 mm Hg) or conduit regurgitation and any of the following:" a. Decreased exercise capacity.(Level of Evidence: C) b. Depressed RV function. (Level of Evidence: C) c. At least moderately enlarged RV end-diastolic size.(Level of Evidence: C) d. At least moderate TR. (Level of Evidence: C) |