Can BVP treat moderate pulmonary valve stenosis?
Patient: My son is 5 months old. His Echo report is : Moderate pulmonary valve stenosis noticed. PPG : 50 mmHg. Pulmonary valve thickened and domed. pulmonary valve annulus 8.5 mm. mindly dilated RA & RV. Mild TR noticed with PPG 17 mmHg. Mild PR noticed. Mild RVH. Intact IAS and IVS. No PDA or coarctation seen. No intracardiac mass or vegetation seen. All other valves and tracts are normal. No pericardial effusion is seen. Good bi ventricular function. He advise me to BVP. my Question, is he totally cure after BVP? or any complication arise in his future life? Doctor: Hi,  BPV is the treatment of choice for in such cases of pulmonary stenosis. The success rate is very high and as such long term complications are very less if the procedure goes uneventful.  There are chances of restenosis or residual stenosis in 20-3- % cases. But as RA/RV is dilated and RVH is there BPV is recommended.  Hope I have answered your query. Let me know if I can assist you further.  Take care  Regards, Dr Pradeep Kumar, Pediatrician, Cardiology