Paediatric Cardiac Care  ·  Pune  ·  Maharashtra
Conditions We Treat

Pulmonary Stenosis

Narrowing of the valve to the lungs, usually treated with a balloon.

What is pulmonary stenosis?

The pulmonary valve controls blood flow from the right ventricle to the lungs. When it is narrowed — stenosed — the heart has to work harder to push blood through it. It ranges from mild, causing no symptoms and needing only monitoring, to severe, which can affect a newborn's ability to get enough oxygen.

Signs that may point to it

A murmur, often the only sign in mild cases
Fatigue or breathlessness on exertion in more significant narrowing
Bluish tinge in severe cases in newborns
Chest discomfort in older children with more significant narrowing

How it is diagnosed and treated

An echocardiogram measures the degree of narrowing and the pressure the right ventricle is working against, which decides whether and when treatment is needed.

Balloon pulmonary valvuloplasty — widening the valve with a balloon carried in on a catheter — is the treatment of choice at almost every age, from newborns to teenagers, and avoids surgery in the great majority of cases. Mild narrowing is simply watched with periodic echocardiograms.

Common questions

Does mild pulmonary stenosis need treatment?
Often not — mild narrowing is commonly just monitored over time with periodic echocardiograms.
Is the balloon procedure a one-time fix?
For most children, yes. A small number need a repeat procedure later, which is why follow-up echocardiograms continue after treatment.

Questions About Your Child?

Call us, or come in with the report you have been given. We would rather answer a question than have you worry about it.