Congenital absence of the pulmonary valve appears to have a prolonged fate, despite substantial regurgitation, thus the optimal timing of surgical correction remains unclear. A 53-year-old man with isolated pulmonary regurgitation accompanied by obstructive sleep apnea developed progressive heart failure after reopening of the foramen ovale. Closure of the interatrial shunt and pulmonary valve replacement with a 25-mm mechanical prosthesis relieved his refractory left heart failure.
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References
1.
AnsariA. Isolated pulmonary valvular regurgitation: Current perspectives. Prog Cardiovasc Dis1991;33:329–44.
2.
ZuckerNRozinILevitasAZalzsteinE. Clinical presentation, natural history, and outcome of patients with the absent pulmonary valve syndrome. Cardiol Young2004;14:402–8.
3.
TanabeYTakahashiMKuwanoHIzumiTShibataAOdaE. Long-term fate of isolated congenital absent pulmonary valve. Am Heart J1992;124:526–9.
4.
PougetJMKellyCEPilzCG. Congenital absence of the pulmonary valve. Report of a case in a seventy-three year old man. Am J Cardiol1967;19:732–40.
5.
BradleyTDFlorasJS. Sleep apnea and heart failure. Part I: Obstructive sleep apnea [Review.]. Circulation2003;107:1671–8.
6.
FungJWLiTSChoyDKYipGWKoFWSandersonJE. Severe obstructive sleep apnea is associated with left ventricular diastolic dysfunction. Chest2002;121:422–9.
7.
ShivalkarBVan de HeyningCKerremansMRinkevichDVerbraeckenJDe BackerW. Obstructive sleep apnea syndrome: More insights on structural and functional cardiac alterations, and the effects of treatment with continuous positive airway pressure. J Am Coll Cardiol2006;47:1433–9.
8.
BeelkeMAngeliSDel SetteMGandolfoCCabanoMECanovaroP. Prevalence of patent foramen ovale in subjects with obstructive sleep apnea: A transcranial Doppler ultrasound study. Sleep Med2003;4:219–23.
