55
4.3.2. Valvular Pulmonary Stenosis
COR LOE
Recommendations
1 B-NR
1. In symptomatic adults with moderate or severe valvular
pulmonary stenosis who have favorable valve anatomy,
balloon valvuloplasty is recommended to improve symptoms.
1 B-NR
2. In symptomatic adults with moderate or severe valvular
pulmonary stenosis who are ineligible for, or have had
suboptimal results after balloon valvuloplasty, pulmonary
valve replacement is recommended to improve symptoms.
1 C-LD
3. In asymptomatic adults with moderate or severe valvular
pulmonary stenosis and at least moderate tricuspid
regurgitation or any RV dysfunction, pulmonary valve
intervention is recommended to reduce pressure overload and
improve valvular function.
2a C-EO
4. In asymptomatic adults with severe valvular pulmonary
stenosis, intervention is reasonable to reduce pressure
overload and improve valvular function.
