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Operative Timing for Absent Pulmonary Valve with Obstructive Sleep Apnea

Department of Surgery (Cardiothoracic Surgery Unit)
¹ Department of Cardiology Monash Medical Center, Monash University Clayton, Australia

For reprint information contact: Yoshitaka Hayashi, PhD Tel: 81 6 6774 5111 Fax: 81 6 6774 5131, Email: yoshimmc{at}river.ocn.ne.jp, Division of Cardiovascular Surgery, Osaka Red Cross Hospital, 5-30 Fudegasaki-cho, Tennoji-ku, Osaka City, Osaka 543-8555, Japan.

Congenital absence of the pulmonary valve appears to have a prolonged fate, despite substantial regurgitation, thus the optimal timing of surgical correction remains unclear. A 53-year-old man with isolated pulmonary regurgitation accompanied by obstructive sleep apnea developed progressive heart failure after reopening of the foramen ovale. Closure of the interatrial shunt and pulmonary valve replacement with a 25-mm mechanical prosthesis relieved his refractory left heart failure.