Prolonged Postsurgical Survival Without a Pulmonic Valve: Case Report and Review of the Literature

Abstract

Pulmonic valve stenosis is usually congenital and causes right-sided heart failure secondary to pressure overload. We report the case of a 56-year-old male with congenital pulmonary valve stenosis who presented with severe right heart failure 32 years after pulmonary valvectomy. He subsequently underwent pulmonary valve replacement and did well. Pulmonary valvectomy is an uncommon treatment for pulmonary stenosis and this is the longest documented survival of a patient without a pulmonic valve. IntroductionWe report the case of a 56-year-old male who underwent pulmonary valve replacement (PVR) after he presented with severe right heart failure 32 years after pulmonary valvectomy without valve replacement for congenital pulmonary valve stenosis. The patient subsequently underwent pulmonary valve replacement and did well. To our knowledge, this is the first documented case of prolonged survival (32 yrs) after pulmonary valvectomy with subsequent pulmonary valve replacement.