Pulmonic regurgitation

Pulmonic regurgitation

Pulmonic regurgitation, also known as pulmonary regurgitation, is the backward flow of blood from the pulmonary artery, through the pulmonary valve, and into the right ventricle of the heart during diastole. While a small amount of pulmonic regurgitation may occur in healthy individuals, it is usually detectable only by an echocardiogram and is harmless. More pronounced regurgitation that is noticed through a routine physical examination is a medical sign of disease and warrants further investigation.

igns and symptoms

Mild cases usually do not cause any symptoms. Because pulmonic regurgitation is the result of other factors in the body, any noticeable symptoms are ultimately caused by an underlying medical condition rather than the regurgitation itself. However, more severe regurgitation may contribute to right ventricular hypertrophy, and in later stages, right heart failure.

Causes

Pulmonary hypertension is the most common cause of excessive pulmonic regurgitation. Other possible causes include tetralogy of Fallot, infective endocarditis, and congenital absence of the pulmonary valve.

Treatment

Asymptomatic cases do not require treatment.

Pulmonic regurgitation is generally treated by addressing the underlying condition. In certain cases, the pulmonary valve may be surgically replaced.

References

*"Lange 2008 Current Medical Diagnosis and Treatment, 47th edition" pp. 298-299 ISBN 978-8-07-149430-4
*Xiushui, R., Saavedra, P., Cannistra, L. "Pulmonic Regurgitation", eMedicine, http://www.emedicine.com/med/topic1964.htm


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