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SEMILUNAR VALVE STENOSIS

 The crescent-shaped valves square measure the arteria, that lies be-tween the heart ventricle and also the artery, and also the pul-monic, separating the proper ventricle from the
pulmonary artery. they're thus named as a result of their
leaflets square measure formed
like crescent moons. Stenosis, or a narrowing of the
opening, could occur in either of those valves as a result of
they are thicker than traditional or as a result of they need
deformed or united valve leaflets.

In a kid with stenosis, the proper ven-tricle should pump a lot of smartly to send spare
blood to the lungs to be aerated. As a result, its
muscular walls could become enlarged, thickened, and
less economical. If the pathology is severe, the kid could
tire quickly from any form of toil. Associate in Nursing babe with
severe pathology could seem quite cyanotic and wish
immediate treatment-the hormonelike substance
prostaglandin

, followed by balloon valvuloplasty
 . If the impairment is just slight, treatment
may not be necessary, however the kid ought to be mon-itored for any indication that the condition is wors-ening.
In cases of stricture, the narrowed entrance
to the artery makes it tougher for aerated
blood to succeed in the body, and it\'s going to end in severe
changes within the muscle of the heart ventricle, gradually
resulting in symptom heart disease. These babies square measure
often found to possess scarred and expanded left ventricles,
in which case the prognosis is kind of poor. At the opposite
end of the spectrum square measure youngsters with delicate pathology
who could haven't any symptoms in any respect (although a heart
murmur is also present), nor need treatment.
Although surgery has been the standard treat-ment for youngsters with either of those conditions,
most newborns World Health Organization have a severe obstruction in ei-ther valve currently receive balloon dilation valvuloplasty.
In this procedure, a balloon-tipped tubing is
threaded through Associate in Nursing artery or vein into the guts to
the center of the valve. The balloon is then inflated,
stretching the valve’s gap.
Balloon valvuloplasty for the semilunar valve has
been terribly winning, and at Yale and alternative institu-tions it\'s utterly replaced surgery for each
newborns and older youngsters. In distinction to the con-dition in adults, arteria balloon valvuloplasty contains a
promising outlook, though it's going to carry a risk of the
development of valve insufficiency (also a risk with
traditional surgery), during which the valve doesn't shut
properly and blood “leaks” backward.
Children World Health Organization bear surgical or balloon valvu-
loplasty of the semilunar valve have to be compelled to be followed
throughout life, as a result of there's a bent for the
valve to calcify and degenerate, at the side of continual
stenosis or progressive insufficiency or each. A corn-
plete surgical replacement of the valve could ultimately
be needed.

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