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.