pulmonic regurgitation

肺動脈弁閉鎖不全症, PR

WordNet

1. backflow of blood through a defective heart valve
2. recall after rote memorization; "he complained that school was just memorization and regurgitation"

PrepTutorEJDIC

1. public relations
2. 逆流 / (未消化食物の)吐きもどし,反芻(はんすう) / 血液の逆流

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/06/13 06:22:17」(JST)

wiki en

[Wiki en表示]

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.

Signs 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.

A decrescendo murmur can sometimes be identified early in diastole, heard best over the left lower sternal border.

Causes

• Pulmonary Hypertension
• Infective endocarditis
• Rheumatic heart disease
• Congenital absence of the pulmonary valve
• Carcinoid Syndrome
• Congestive abnormalities
• Tetralogy of Fallot, a malformation of the heart characterized by four co-occurring defects: 1) a ventricular septal defect, 2) a misplaced origin of the aorta causing it to override the septal defect, 3) narrowing of the pulmonary artery, and 4) enlargement of the right ventricle.
• Itrogenic (post surgical repair for congenital heart disease)
• Chest trauma
• Carcenoid heart disease(tumor)
• Prosthetic heart valve dysfunction

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 978-80-7149-430-4
• Xiushui, R., Saavedra, P., Cannistra, L. "Pulmonic Regurgitation", eMedicine, http://www.emedicine.com/med/topic1964.htm

UpToDate Contents

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• 1. Pulmonic regurgitation
• 2. 肺動脈弁と肺動脈の心エコー評価 echocardiographic evaluation of the pulmonic valve and pulmonary artery
• 3. Auscultation of cardiac murmurs in adults
• 4. ファロー四徴症のマネージメントおよび転帰 management and outcome of tetralogy of fallot
• 5. ER／PR陰性、HER2陰性（トリプルネガティブ）乳癌の疫学、危険因子および臨床的アプローチ epidemiology risk factors and the clinical approach to er pr negative her2 negative triple negative breast cancer

English Journal

• Long-term results of the Ross operation: an 18-year single institutional experience†.

• da Costa FD1, Takkenberg JJ2, Fornazari D3, Balbi Filho EM3, Colatusso C3, Mokhles MM2, da Costa AB3, Sagrado AG3, Ferreira AD3, Fernandes T3, Lopes SV3.
• European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.Eur J Cardiothorac Surg.2014 Sep;46(3):415-22. doi: 10.1093/ejcts/ezu013. Epub 2014 Feb 23.
• OBJECTIVES: The purpose of the study was to assess the 18-year outcome of the Ross operation (RO), with emphasis on survival, reoperations, and late function of the pulmonary autografts (PAs) and the right-sided pulmonary allografts.METHODS: Between May 1995 to July 2013, 414 patients with a mean ag
• PMID 24566847

• Personalized surgical repair of left ventricular aneurysm with computer-assisted ventricular engineering†

• Hartyánszky I1, Tóth A2, Berta B2, Pólos M2, Veres G2, Merkely B2, Szabolcs Z2, Pepper J3.
• Interactive cardiovascular and thoracic surgery.Interact Cardiovasc Thorac Surg.2014 Aug 21. pii: ivu219. [Epub ahead of print]
• OBJECTIVES: Although circular ventricular resection techniques are the gold standard of left ventricular (LV) restoration, these techniques can lead to suboptimal results. Postoperative systolic resection can be inadequate, because it must be planned on a heart stopped in diastole. Low cardiac outpu
• PMID 25146325

• A novel balloon assisted two-stents telescoping technique for repositioning an embolized stent in the pulmonary conduit.

• Kobayashi D1, Gowda ST, Forbes TJ.
• Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.Catheter Cardiovasc Interv.2014 Aug 1;84(2):219-23. doi: 10.1002/ccd.25383. Epub 2014 Feb 1.
• A 9-year-old male, with history of pulmonary atresia and ventricular septal defect, status post complete repair with a 16 mm pulmonary homograft in the right ventricular outflow tract (RVOT) underwent 3110 Palmaz stent placement for conduit stenosis. Following deployment the stent embolized proximal
• PMID 24402732

Japanese Journal

• Cardiovascular Effects of Right Ventricle-Pulmonary Artery Valved Conduit Implantation in Experimental Pulmonic Stenosis

• SAIDA Yuuto,TANAKA Ryou,FUKUSHIMA Ryuji,HOSHI Katsuichiro,HIRA Satoshi,SODA Aiko,IIZUKA Tomoya,ISHIKAWA Taisuke,NISHIMURA Taiki,YAMANE Yoshihisa
• Journal of Veterinary Medical Science 71(4), 477-483, 2009
• … Right ventricle (RV)-pulmonary artery (PA) valved conduit (RPVC) implantation decreases RV systolic pressure in pulmonic stenosis (PS) by forming a bypass route between the RV and the PA. … Thereafter, regurgitation was not evident beyond the conduit valve and the decrease in RV pressure overload induced by RPVC was confirmed. …
• NAID 130000134349

• Patent Ductus Arteriosus with Combined Valvular Disease at Age 91

• SATOH Tadashi,YANAGITANI Yoshihiro,OKANO Yoshiaki
• Internal medicine 36(5), 340-344, 1997-05
• … This report describes a 91-year-old patient with patent ductus arteriosus (PDA) complicated by combined valvular disease (CVD) (aortic and mitral stenosis, and aortic, mitral, pulmonic and tricuspid regurgitation). …
• NAID 10007006429

Related Links

• Pulmonic Regurgitation - Diseases & Conditions - Medscape ...

Pulmonic Regurgitation. The pulmonic valve is normally a thin tricuspid structure that prevents blood from regurgitating into the right ventricle once ejected into the low-pressure pulmonary circulation. ... Alan D Forker, MD ...

• Pulmonic Regurgitation

History Pulmonic regurgitation is seldom clinically significant. However, symptoms of right-sided heart failure can occur when the severity and duration of the regurgitation result in right ventricular enlargement and decompensation.

Related Pictures

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★リンクテーブル★

リンク元	「肺動脈弁閉鎖不全症」「pulmonary valve insufficiency」「肺動脈弁閉鎖不全」「肺動脈弁逆流」「pulmonary valve regurgitation」
関連記事	「regurgitation」「pulmonic」

「肺動脈弁閉鎖不全症」

　　[★]

英

pulmonary insufficiency PI, pulmonary valve insufficiency, pulmonary valve incompetence

同

肺動脈弁閉鎖不全。肺動脈弁逆流症 肺動脈弁逆流 pulmonic regurgitation PR

関

聴診

• pulmonic areaに雑音を聴取
• 呼気により雑音が大きく聴取される

「pulmonary valve insufficiency」

　　[★]

肺動脈弁閉鎖不全、肺動脈弁閉鎖不全症

関

pulmonary insufficiency、pulmonary regurgitation、pulmonary valve incompetence、pulmonary valve regurgitation、pulmonic insufficiency、pulmonic regurgitation

「肺動脈弁閉鎖不全」

　　[★]

英

pulmonary insufficiency、pulmonic regurgitation、pulmonic insufficiency、pulmonary valve insufficiency、pulmonary regurgitation

関

肺動脈弁閉鎖不全症、肺動脈弁逆流、肺動脈弁逆流症

「肺動脈弁逆流」

　　[★]

英

pulmonary regurgitation、pulmonic regurgitation、pulmonary valve regurgitation、pulmonic valve regurgitation

関

肺動脈弁閉鎖不全、肺動脈弁閉鎖不全症、肺動脈弁逆流症

「pulmonary valve regurgitation」

　　[★]

肺動脈弁逆流、肺動脈弁逆流症

関

pulmonary regurgitation、pulmonary valve incompetence、pulmonary valve insufficiency、pulmonic regurgitation、pulmonic valve regurgitation

「regurgitation」

　　[★]

• n.

• 逆流、反流。吐きもどし、反芻

同

逆流

　 　 　

「pulmonic」

　　[★]

• adj.

• 肺動脈弁の

関

pulmonary valve