ArticleBMC pediatrics2025
Prenatal diagnosis and postnatal management of a complicated pulmonary valve stenosis: a case report.
Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Abstract
backgroundPulmonary stenosis (PS) is a common congenital heart defect, often detectable prenatally via fetal echocardiography. This case report describes a fetus diagnosed at 19 weeks with severe valvular PS. Postnatal balloon valvuloplasty was successfully performed via jugular access due to femoral obstruction. CASE PRESENTATION: A 34-year-old pregnant woman was referred at 19 weeks due to increased fetal nuchal translucency, and fetal echocardiography revealed severe pulmonary stenosis with right ventricular hypertrophy and tricuspid regurgitation. After full-term vaginal delivery, the neonate's diagnosis was confirmed, and progressive stenosis necessitated balloon valvuloplasty via jugular access due to lower venous obstruction. Post-procedure infundibular stenosis was managed medically with propranolol, resulting in significant gradient reduction, and the infant remains well on follow-up.
conclusionThis case highlights the importance of fetal echocardiography, alternative venous access, and multidisciplinary care in achieving good outcomes in complex congenital heart disease.
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