Signs of Severe Pulmonary Stenosis
- Systolic ejection murmur with a palpable thrill
- Right ventricular hypertrophy
- Cyanosis from reduced pulmonary blood flow and the right to left shunt of blood at foramen ovale due to high right ventricular pressure
- Can lead to right ventricular failure, CHF
Treatment of Severe Pulmonary Stenosis
- Oxygen
- Medical Management (Lasix)
- Administration of PGE1 (prostaglandin) infusions, to maintain ductal patency in critical pulmonary stenosis
- Pulmonary balloon valvuloplasty via cardiac cath
- If unsuccessful, valvotomy
