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Management of Adults With Congenital Heart Disease

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58 Specific Conditions Figure 5. Isolated Pulmonary Regurgitation After Repair of Pulmonary Stenosis Isolated PR after repair of PS Interval follow-up NO NO NO YES YES YES Moderate or greater PR and RV enlargement RV systolic dysfunction? Symptoms*? 2a Pulmonary valve replacement 1 Pulmonary valve replacement 1 Assess PR severity and RV size/function For routine follow-up and testing intervals, see Table 29. * Symptoms may include dyspnea, chest pain, and/or exercise intolerance attributable to PR or otherwise unexplained. PR indicates pulmonary regurgitation; PS, pulmonary stenosis; RV, right ventricular; and TR, tricuspid regurgitation.

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