TABLE 7 – SUGGESTED CRITERIA FOR SURGICAL PULMONARY VALVE REPLACEMENT
GEVAT (2006) based on RV regurgitant fraction RV regurgitation fraction >=25% PLUS Two or more of the following criteria - LEE C.ET AL (2012) RV end –systolic volume index >=80 ml/m2 and RV end –diastolic volume index >=163 ml/m2
RV end – diastolic volume index >=160 ml/m2 (Normal values, <108 ml/m2
RV end-systolic volume index >=70 ml/m2 (Normal values, < 47 ml/m2
LV end-diastolic volume index >=65 ml/m2
RV ejection fraction <=45%
RV outflow tract aneurysm
Clinical Criteria Exercise intolerance Syncope Presence of heart failure sustained ventricular tachycardia or* QRS duration >=180 m sec.* * - Risk factor for sudden
death