BRIEF COMMENTS
EXPERT: Tomasz Mroczek MD, PhD
Affiliation: Department of Pediatric Cardiac Surgery, Jagiellonian University Medical College, Krakow.
COMMENT
There is no need to perform pulmonary trunk banding procedure – it’s essential if LV function is impaired, which is not present in this case. After pulmonary valve repair RV overload will be reduce and flow to lungs will improve.
EXPERT: Prof. Piotr Podolec MD, PhD
Affiliation: Department of Cardiac and Vascular Diseases, John Paul II Hospital, Krakow
COMMENT
There were previous intervention on right coronary artery in this patient, the function of myocardium is impaired. Moreover flow in RICA needs to be improved. RV function is poor due to ischemia, pulmonary valve repair creates a chance to reduce pressure in RV and improve its contractility.
EXPERT: Tomasz Pawelec MD, PhD
Affiliation: John Paul II Hospital, Department of Hemodinamics and Angiocardiography of the Jagiellonian University, Medical College, Krakow, Poland
COMMENT
In case of myocardial infarction with coexisting pulmonary stenosis chances for successful reanimation are very limited.
EXPERT: Prof. Andrzej Rudziński MD, PhD
Affiliation: Department of Cardiology, Pediatric Institute, Jagiellonian University Medical College, Krakow, Poland
COMMENT
After successful pulmonary valve repair I suggest beta blocker administration.
CONCLUSIONS
1. After percutaneous intervention on RICA pulmonary valvulotomy should be considered.
“Development of the European Network in Orphan Cardiovascular Diseases”
„Rozszerzenie Europejskiej Sieci Współpracy ds. Sierocych Chorób Kardiologicznych”
