Echo results... what does it mean?

I am a 34/female.  History of strokes and death to parents. Father was 47 and mother was 64. History of strong hypertension in family and heart disease on maternal side.  I am a relatively healthy female, quit smoking 5 1/2 yrs ago after smoking almost 15 yrs.  After a cough and horrible sore throat that wouldn't go away I went to the doctor.  She found that I had a heart murmur.  Did an EKG and was concerned about one of the waves.  I had a carotid doppler (normal) and an echo done.  Echo found that my mitral valve is myxomatous.  Mild mitral valve regurgitation.  Mild tricuspid regurgitation.  Right ventricular systolic pressure was mildly elevated at 30 mmHg.  LV ejection fraction 60-65%.  Then the impression said normal doppler.
I looked up the word myxomatous and find it to either lead me to myxomatous mitral valve prolapse or myxoma.  Since my report said the mitral valve is myxomatous, does this mean there is a tumor on my mitral valve?
Along with this cough I have had for a month now.  I have SOB with or without exersion.

[kenkeith]

MMV (myxomatous mitral valve)  is characterized by increased surface area, dome formation of the leaflet-body, and non-uniform leaflets in thickness. And MMV may be a potential underlying cause for aggravation of mitral regurgitation by rupturing the chordae (strings that attach to the leaflets and heart wall) caused by a benign tumor that  effects or elongates the chords. "Valve prolapse, elongation of chordae and chordae rupture are generally seen complications of the myxomatous disease".

The good news is MV repair has emerged as the procedure of choice for patients with symptomatic MR resulting from myxomatous disease because of its low operative mortality rate and beneficial effects in left ventricular function when compared with mitral valve replacement The results of MV repair have been so satisfactory that surgery is often recommended for asymptomatic valve regurgitation. Mitral valve repair is feasible in most patients with mitral regurgitation caused by myxomatous disease and it  was associated with low rates of valve-related complications. Chordal replacement with expanded polytetrafluoroethylene had no adverse effect on the late outcome and was believed to have increased the probability of mitral valve repair".
_________________________
Normal systolic right ventricle pressure is 20-30.  The significance is that the pressure reading indicates the resistance the right ventricle pumps against. High resistance can cause the right ventricle to enlarge and if not successfully treated there can be right side heart failure.  Higher than normal pressure can be due to pulmonary vessel narrowing, thrombosis (clots), etc. and/or there can be pulmonary embolism (clots in the lung passage way)

LV ejection fraction is normal (50-70%) and that is the calculation of the percentage of blood pumped into circulation with each heartbeat.  Your heart is strong and pumping normally.
.  
Mild, trivial, trace, regurgitation is not considered medically significant.  This condition would not cause your shortness of breath.  Before there are any symptoms the regurgitation would be moderate to severe regurgitation.  I have had moderate to severe MVR of more than 7 years without symptoms, but i will need a valve repair it seems.

The doppler is software associated with an echo that color codes the blood flow through the heart.  There appears to be no abnormalities...notwithstanding the mild regurgitation.

The likely problem would probably be due to pulmonary issues, because you heart is pumping into circulation an adequate amount of blood/oxygen.

I hope this helps, and if you have any further questions you are welcome to respond.  Thanks for sharing, take care.

[angie613]

Thank you for responding.  I have stayed away Google since I was starting to worry alot.  Your response has given me some information that is helpful.

[kenkeith]

Thank you for your feedback.  Take care, and I wish your father well going forward.