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Suggest Treatment For Mildly Dilated Pulmonary Artery

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Posted on Thu, 23 Mar 2017
Question: I was diagnosed with a bicuspid pulmonic valve and a mildly dialated pulmonary artery. I am so fearful of a dissection or rupture and dropping dead, is this possible?
doctor
Answered by Dr. Dr. Meriton Siqeca (21 minutes later)
Brief Answer:
No such complications

Detailed Answer:
Greetings and welcome to HealthcareMagic. I can understand your concern. Thank you for your question.

Well, as you may have been informed, this is a congenital disorder in which, instead of the characteristic three-cusp pulmonary valve, you have it with two cusps. The mildly dilated pulmonary artery is a compensatory mechanism that comes from some grade of narrowing that is produced by the biscupid valve.

The complications of this phenomenon are not to be expected until later in your life, let us say in the fifth or sixth decade. Therefore, my opinion is that you do not have to be worried about the complications you mentioned.

However, I would recommend you to have periodical control of the pressures and the gradient of the narrowing, which is done with an echo cardiogram. In this matter, I would recommend you to be checked once in two years until your fifth decade of life, and once yearly afterwards.

I hope my answer is helpful. I am happy to help, if you have any follow-ups.

Kind regards,
Dr. Meriton


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Follow up: Dr. Dr. Meriton Siqeca (31 minutes later)
Thanks for your reaponse, so if the pressure is good then it will not dissect?
doctor
Answered by Dr. Dr. Meriton Siqeca (7 hours later)
Brief Answer:
Yes, partially.

Detailed Answer:
Hi again. Welcome back.

Because the pressure rise happens really slowly in this condition, the walls of the artery have more time to accomodate. It really takes a long time for a dissection to happen, should one happen at all. My opinion is that you should not worry. Just, as I said, it is recommended to be followed-up with periodical echo cardiogram, as described in the original answer.

I hope you find my follow-up helpful. If you do not further questions, close the discussion and rate the answer.

Regards,
Dr. Meriton
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Follow up: Dr. Dr. Meriton Siqeca (11 hours later)
Amd if the pressure doesnt rise?
doctor
Answered by Dr. Dr. Meriton Siqeca (17 hours later)
Brief Answer:
No any problem, then

Detailed Answer:
Hi again.

If the pressure between the two chambers does not rise, then it is more sure that there is no probability of a dissection. Put your mind at ease, since you will be under echo cardiographic control periodically.

I hope this helps.

Regards,
Dr. Meriton
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Dr. Meriton Siqeca

Cardiologist

Practicing since :2009

Answered : 775 Questions

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Suggest Treatment For Mildly Dilated Pulmonary Artery

Brief Answer: No such complications Detailed Answer: Greetings and welcome to HealthcareMagic. I can understand your concern. Thank you for your question. Well, as you may have been informed, this is a congenital disorder in which, instead of the characteristic three-cusp pulmonary valve, you have it with two cusps. The mildly dilated pulmonary artery is a compensatory mechanism that comes from some grade of narrowing that is produced by the biscupid valve. The complications of this phenomenon are not to be expected until later in your life, let us say in the fifth or sixth decade. Therefore, my opinion is that you do not have to be worried about the complications you mentioned. However, I would recommend you to have periodical control of the pressures and the gradient of the narrowing, which is done with an echo cardiogram. In this matter, I would recommend you to be checked once in two years until your fifth decade of life, and once yearly afterwards. I hope my answer is helpful. I am happy to help, if you have any follow-ups. Kind regards, Dr. Meriton