Hello, My nephew ' Preet' who has Congenital acyanotic heart disease. He is currently in INDIA and I need some consultation
before he undergoes open heart bypass.
2 D ECHOCARDIOGRAPHY AND COLOUR DOPPLER STUDY
Congenital acyanotic heart disease.
Moderate ostium secondum ASD ( 7 mm) with left to right shunt.
Moderate restrictive subaortic VSD ( 3.3 mm) with left to right shunt.
Good LV systolic function at rest. (LEVEL 61 % )
No evidence of coarctation of aorta or PDA or aortic egurgitation.
No pericardial effusion / clots / vegetation
Abdominal situs solitus.
IVC is connected RA.
Pulmonary veins are connected to LA.
Moderate sizes subaortic VSD - partially closed by the septal tricuspid
leaflet & low velocity left to right flow.
Left ventricular volume overload.
Good systolic LV function.
Normal other chambers
Grade II tricuspid regurgitation.
Trivial mitral regurgitation.
Severe pulmonary hypertension (estimated systolic PA pressure - 84 mmHg.)
No PDA /coarctation.
M MODE MEASUREMENTS: NOT TAKEN
VSD SIZE - 5 mm
Doppler measurements Peak gdt.mmHg
Mitral valve : 7/1.36
Aortic valve : 4/1
Pulmonary valve : 6/1.29
Desc Ao : 6/1.23
VSD Gradiant : 31 mmHg
TR : 74/4.32
Please help. Suhas Aligave 973-430-6473
How old is your nephew? The most concerning thing about the numbers reported here is the severe pulmonary hypertension. Oftentimes pulm0onary hypertension is irreversible if the condition has gone untreated for too long. However, if he is still young there is a possibility that the surgery will help to reduce the pressure. I would tend to agree that closing the atrial septal depfect (ASD) and the ventricular septal defect (VSD) are probably a good idea at this point. There will be some risk to the surgery and the surgeon can give an estimate of the risk of mortality during surgery.
Previous report when Preet was 21 days old.
VIEWS - PSLx, PSSx, APICAL 4CH, APICAL2CH
MITRAL VALVE AORTIC VALVE
AML APPEARANCE Apperance : tricuspid
D-E 08 (15mm-26mm) Root Dimension 09 (20-37mm)
EF Slope 48 (70mm-150mm/sec) Cuspal separation 07 (15-26mm)
EPSS 05 (<10 mm) Closure line thin and central
PML Apperance : other
Motion Paradoxical POLMONARY VALVE
Mitral valve area cm2 Annulus
Sub valvular apparatus : 3+ Appearance
Other EF slope
Wilkins Score 06 (< 9) A wave
DIMENSION M- MODE : Other
RVID 20 (9-26mm) TRICUSPID VALVE
IVS 04 (6-11mm) Appearance
LVIDD 26 (35-57mm) Slope
LVIDS 18 (24-42mm) Other
PW 05 (6-11mm)
EF 61 (64-83 %)
FS 31 (28-44 %)
LA 11 (19-40mm)
DOPPLER STUDIES pulsed, continuous, Hight, PRF, Color Doppler
(A = adult, C = child. Figure in the bracket indicates normal Peak Velocities in M/Sec)
VALCE VELOCITY M/Sec GRADIANT mm.hg
Mean Max Mean Max
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.