Management of isolated pulmonic regurgitation post-repair of valvular pulmonic stenosis

PR: pulmonic regurgitation; PS: pulmonic stenosis; RV: right ventricle.

* The initial test for assessment of PR severity and RV size is transthoracic echocardiography (TTE). If the PR or RV is not adequately assessed by echocardiography, cardiovascular magnetic resonance imaging (CMR) is indicated. Cardiac computed tomography (CCT) may be used if CMR is not feasible.

¶ The RV is generally enlarged in the presence of moderate or greater PR. If RV enlargement is not present, the severity of PR should be reassessed.

Δ Symptoms may include dyspnea, chest pain, and/or exercise intolerance. Other causes of these symptoms should be excluded.

◊ The frequency of follow-up is based upon the physiologic stage of the patient. For a patient with isolated mild PR, clinical imaging and follow-up imaging in two years are reasonable.

§ The frequency of follow-up is based upon the physiological stage of the patient. Patients with at least moderate PR should receive follow-up imaging at least every 12 months.