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Pulmonary valve replacement without surgery



Artificial Valve Last 9 Days Sickness Insurance Benefits
Hospital Severance, short hospital stay after surgery.

Yonsei University Severance Hospital Pediatric Cardiology Team, Choi Jae-young and Jeong Se-yong Teams have recently applied 5 patients for pulmonary valvuloplasty interventions, 4 men and 1 woman with pulmonary disease, Intervention has been successfully completed.

Intervention has been initiated for pulmonary disease, which is difficult to treat during heart valve disease.

The Department of Pediatric Cardiology, Severance Hospital, was the first in Korea to successfully intervene in the pulmonary valve in 2015. However, the product range of prosthetic valves is expensive from 3,000 to 50 million won, so it is not widely used, and recently many health care insurance has been applied.

Especially in this intervention procedure, technological advancement has been achieved by expanding the space where the new prosthetic valve is placed over "hyperbaric balloon plastics" to patients who have limited use because the small prosthetic valve inserted into the previous operation.

Professor Choi Jae-young said, "It is unfortunate that replacement of the pulmonary valve by interventions is more restrictive than surgery, and therefore it is not easy to obtain insurance." . "

Meanwhile, it was usual to replace the pulmonary valve with an artificial valve through the thoracotomy. However, if valve regurgitation is required, such as reflux or stenosis after replacement of the prosthetic valve, reoperation is inevitable.

In addition, the timing of prosthetic valve replacement may be shortened due to progression of heart disease and unexpected complications, and the increased risk of surgery and prolonged recovery due to repeated surgery are burdensome for patients and healthcare professionals.

If the operation does not take place at the right time, the right ventricle becomes larger and severe complications such as heart failure and arrhythmias are at risk of sudden death.

There was also a difference in length of hospitalization after treatment. Patients who have undergone open thoracotomy are usually hospitalized for 10 to 14 days. Patients who have received a partial or interventional replacement of the pulmonary valve will return to their daily life after 3-4 days of treatment. Of the 5 patients who were recently treated, three patients were released from the hospital for three days and the remaining two were released after four days and five days.

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