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Barik R, Akula SP, Damera SR. Use of Dobutamine Stress Echocardiography for Periprocedural Evaluation of a Case of Critical Valvular Pulmonary Stenosis with Delayed Presentation. J Cardiovasc Echogr. 2016;26(2):56-60doi: 10.4103/2211-4122.183758.
Barik, R., Akula, S. P., & Damera, S. R. (2016). Use of Dobutamine Stress Echocardiography for Periprocedural Evaluation of a Case of Critical Valvular Pulmonary Stenosis with Delayed Presentation. Journal of cardiovascular echography, 26(2), 56-60. https://doi.org/10.4103/2211-4122.183758
Barik, Ramachandra, et al. "Use of Dobutamine Stress Echocardiography for Periprocedural Evaluation of a Case of Critical Valvular Pulmonary Stenosis with Delayed Presentation." Journal of cardiovascular echography vol. 26,2 (2016): 56-60. doi: https://doi.org/10.4103/2211-4122.183758
Barik R, Akula SP, Damera SR. Use of Dobutamine Stress Echocardiography for Periprocedural Evaluation of a Case of Critical Valvular Pulmonary Stenosis with Delayed Presentation. J Cardiovasc Echogr. 2016 Apr-Jun;26(2):56-60. doi: 10.4103/2211-4122.183758. PMID: 28465962; PMCID: PMC5224658.
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J Cardiovasc Echogr. 2016 Apr-Jun;26(2):56-60. doi: 10.4103/2211-4122.183758.

Use of Dobutamine Stress Echocardiography for Periprocedural Evaluation of a Case of Critical Valvular Pulmonary Stenosis with Delayed Presentation.

Journal of cardiovascular echography

Ramachandra Barik, Siva Prasad Akula, Sheshagiri Rao Damera

Affiliations

  1. Department of Cardiology, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India.

PMID: 28465962 PMCID: PMC5224658 DOI: 10.4103/2211-4122.183758

Abstract

We report a case illustrating a 39-year-old man with delayed presentation of severe pulmonary valve (PV) stenosis, clinical evidence of congestive right heart failure in the form of enlarged liver, raised jugular venous pressure, and anasarca without cyanosis. Echocardiography (echo) was used both for diagnosis and monitoring this patient as main tool. The contractile reserve of the right ventricle (RV) was evaluated by infusion of dobutamine and diuretic for 4 days before pulmonary balloon valvotomy. Both the tricuspid annular peak systolic excursion and diastolic (diastolic anterograde flow through PV) function of RV improved after percutaneous balloon pulmonary valvotomy. These improvements were clinically apparent by complete resolution of anasarca, pericardial effusion, and normalization albumin-globulin ratio. The periprocedural echo findings were quite unique in this illustration.

Keywords: Dobutamine stress echocardiography; percutaneous balloon pulmonary valvotomy; pulmonary valve stenosis; right heart failure

Conflict of interest statement

There are no conflicts of interest.

References

  1. Am Heart J. 2007 Mar;153(3):433-8 - PubMed
  2. Catheter Cardiovasc Interv. 2014 Aug 1;84(2):E7-15 - PubMed
  3. Indian Heart J. 2014 Jul-Aug;66(4):462-5 - PubMed
  4. Catheter Cardiovasc Interv. 2015 Feb 1;85(2):332-3 - PubMed
  5. Indian Heart J. 2014 Mar-Apr;66(2):211-3 - PubMed
  6. Acta Med Iran. 2013 May 30;51(5):324-8 - PubMed

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