Valve Disease

Pulmonary Valve Disease.

Expert second opinions for pulmonary valve disease. Dual-physician Heart Team review with triple risk scoring. Results in 24 hours.

Common in repaired congenital heart disease
Prevalence
Surgical PVR mortality <1%
Key Outcome
TPVR expanding but anatomy-dependent
Procedures
Quick Answer

Pulmonary Valve Disease is most commonly seen in adults who had childhood repairs for congenital heart disease (especially Tetralogy of Fallot). If you are facing a decision about pulmonary valve disease, an independent Heart Team second opinion can confirm whether surgery is the right choice and identify alternatives. WhiteGloveMD delivers dual-physician review with STS, EuroSCORE II, and AATS risk scoring in 24 hours. Get an independent second opinion →

Overview

Understanding pulmonary valve disease.

Pulmonary valve disease is most commonly seen in adults who had childhood repairs for congenital heart disease (especially Tetralogy of Fallot). Chronic pulmonary regurgitation leads to right ventricular dilation and dysfunction, eventually requiring valve replacement.

Why It Matters

Why you need a second opinion.

Timing of pulmonary valve replacement is critical — too late and RV dysfunction becomes irreversible. Transcatheter pulmonary valve replacement (TPVR) has expanded options for patients with suitable anatomy, but not all conduits are amenable to transcatheter approaches. Expert evaluation determines the optimal timing and method.

Critical Decisions

Key decisions for pulmonary valve disease.

Timing based on RV size and function parameters
Transcatheter vs surgical pulmonary valve replacement
Conduit type selection for surgical replacement
Concurrent procedures (PA reconstruction, RVOT revision)
Long-term surveillance strategy
Risk Factors

What affects your risk.

RV dilation indices
RV systolic function
Exercise capacity decline
Arrhythmia development
Conduit anatomy for TPVR suitability
Our Review

What our Heart Team provides.

Dual-physician review (cardiac surgeon + cardiologist)
Triple risk scoring (STS PROM, EuroSCORE II, AATS)
ACC/AHA guideline mapping with evidence grades
Treatment alternatives with risk-benefit comparison
Surgeon and institution matching via Sentinel
Personalized question guide for your next appointment
Complete provenance trail for every conclusion
Results delivered within 24 hours
Common Questions

Frequently asked questions.

Do I need surgery for pulmonary valve disease?

Surgery for pulmonary valve disease depends on symptom severity, imaging findings, and risk profile. Guidelines from the AHA/ACC define specific thresholds, but many patients fall into gray zones where a second opinion meaningfully changes the recommendation. Timing of pulmonary valve replacement is critical — too late and RV dysfunction becomes irreversible. Transcatheter pulmonary valve replacement (TPVR) has expanded options for patients with suitable anatomy, but not all conduits are amenable to transcatheter approaches. Expert evaluation determines the optimal timing and method.

What are the risks of pulmonary valve disease surgery?

Operative mortality for pulmonary valve disease-related cardiac surgery is calculated using validated models including STS PROM, EuroSCORE II, and AATS. Individual risk depends on age, comorbidities, frailty, ejection fraction, and surgeon/center volume. Our free calculator at whiteglovemd.com/tools/risk-calculator estimates your specific risk across all three models in real time.

Should I get a second opinion before pulmonary valve disease surgery?

Yes. Studies show that 30-40% of expert cardiac surgery second opinions change the original treatment plan — sometimes by recommending less-invasive alternatives, sometimes by clarifying that watchful waiting is safer. WhiteGloveMD pairs a cardiac surgeon and cardiologist with our Clintelligence multi-agent AI pipeline to deliver an independent review in 24 hours, starting at $500.

What is the best treatment for pulmonary valve disease?

The optimal treatment for pulmonary valve disease depends on anatomy, comorbidities, age, and personal goals. Timing based on RV size and function parameters. A Heart Team review evaluates every viable option — including transcatheter approaches, repair vs replacement, and surgeon/center matching — rather than defaulting to a single recommendation.

Clinical References
  1. Otto CM, Nishimura RA, Bonow RO, et al. 2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease — Tricuspid/Pulmonary Section. J Am Coll Cardiol. 2021;77(4):e25-e197.
  2. O'Brien SM, Feng L, He X, et al. The Society of Thoracic Surgeons 2018 Adult Cardiac Surgery Risk Models. Ann Thorac Surg. 2018;105(5):1411-1418.
  3. Nashef SAM, Roques F, Sharples LD, et al. EuroSCORE II. Eur J Cardiothorac Surg. 2012;41(4):734-745.

Reading on pulmonary valve disease

See all articles →
Diagnostics
Understanding Your Echocardiogram: A Cardiologist's Guide to TTE vs TEE and What Your Results Actually Mean

A fellowship-trained cardiac imaging specialist explains the key differences between TTE and TEE echocardiograms, what your results mean, and how accurate echocardiogram interpretation can change your surgical plan. Practical guidance for patients and families navigating cardiac imaging decisions.

Kunal U. Gurav, MD · May 18, 2026
Risk Assessment
EuroSCORE II Explained: What This European Cardiac Surgery Risk Score Means for Your Heart Surgery Decision

EuroSCORE II is one of the most widely used risk calculators in cardiac surgery worldwide. Learn what the European cardiac surgery risk score actually measures, how it compares to the STS risk model, and why understanding your score matters before you consent to an operation.

Serrie Lico, MD · May 24, 2026
Diagnostics
Cardiac Stress Test Results: What Your Exercise Echo or Nuclear Stress Test Actually Means

A world-class imaging cardiologist explains how to read and understand your cardiac stress test results — whether you had an exercise stress echo, nuclear stress test, or pharmacologic study. Learn what abnormal findings really mean for your heart and what comes next.

Kunal U. Gurav, MD · May 23, 2026
Risk Assessment
EuroSCORE II Explained: What This European Cardiac Surgery Risk Score Means for Your Heart Surgery Decision

EuroSCORE II is one of the most widely used cardiac surgery risk calculators in the world. As a cardiovascular surgeon, I explain what this European risk score measures, how it compares to the STS risk model, and what patients need to understand before surgery.

Rahul R. Handa, MD · May 22, 2026

Related conditions.

Tricuspid Regurgitation
Mechanical Valve Anticoagulation
Ross Procedure
Multi-Valve Disease
Bicuspid Aortic Valve
Mitral Valve Prolapse

Get an expert opinion on your pulmonary valve disease.

WhiteGloveMD delivers a dual-physician, AI-augmented second opinion in 24 hours. Starting at $500.

Start Your Review Try the Risk Calculator