Right ventricular outflow tract obstruction pathophysiology: Difference between revisions

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==Pathophysiology==
==Pathophysiology==
[[Pulmonary valve stenosis]] is one of the most common RVOT obstructions. The oxygen-depleted blood is coming from the body to the heart through the superior and inferior vena cava, arriving into the right atrium, right ventricle, passing through the RVOT and pulmonary valve to the pulmonary artery and lungs to pick up oxygen. Normally the pulmonary valve has three leaflets. These leaflets can be malformed due to congenital defects, producing pulmonary valve narrowing (stenotic) or leaky (insufficient). If the pulmonary valve is tight (stenosis), the right side of the heart needs to work harder to push blood through the valve to the lungs. The stenosis, insufficiency or both can be mild to severe. Therefore the symptoms will depend upon the grades of pulmonary stenosis.
The right ventricular outflow tract obstruction includes stenosis or narrowing of the [[pulmonary valve]], the tissue above the valve (supravalvar obstruction) and below it(subvalvar obstruction). Congenital subvalvar and supravalvar right ventricular outflow tract stenosis usually occurs with other congenital heart defects such as [[Ventricular Septal Defect]] (VSD) or [[Tetralogy of Fallot]].
 
If right ventricular outflow tract obstruction is present and the ventricular septum is intact, usually the right ventricle will adapt better given that no right to left shunting is present. This absence of shunting may result in sufficient pulmonary blood flow to allow the patient to remain asymptomatic longer.


==References==
==References==

Revision as of 17:24, 24 June 2011

Right ventricular outflow tract obstruction Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Pathophysiology

The right ventricular outflow tract obstruction includes stenosis or narrowing of the pulmonary valve, the tissue above the valve (supravalvar obstruction) and below it(subvalvar obstruction). Congenital subvalvar and supravalvar right ventricular outflow tract stenosis usually occurs with other congenital heart defects such as Ventricular Septal Defect (VSD) or Tetralogy of Fallot.

If right ventricular outflow tract obstruction is present and the ventricular septum is intact, usually the right ventricle will adapt better given that no right to left shunting is present. This absence of shunting may result in sufficient pulmonary blood flow to allow the patient to remain asymptomatic longer.

References

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