MY PASSWORD IN OLDERDAYS

Hello I live in the netherlands and are interested in your treament strategy.

I Have an MVP cat 3. Left atrium size 53 mm and an enlarged aortaroot of 50 mm (aorta valve is good). Since eastern I have atrium fibrillation some times it is gone most often it is present. I am a male of 53 old 1,86 meter and 85 kg. The AF occured after a cycletour of 100 km. I use sotalol 2 x 40 mg a day.

Dou you think surgery(of the MVP and aorta) is nessecary. Before the occurance of AF my condition was (very) good now I am often tired.

[Forum-M.D.-bkj]

Wim,

It's impossible to tell you when to operate over the internet. I would need to know exactly the nature of your mitral disease and regurgitation as well as the cause of your aortic disease. With respect to someone who has atrial fibrillation, it is one are of concern in people with mitral regurgitation. The most important criteria involve the function of the ventricle, the presence of symptoms, and the pressures transmitted into the lungs by the regurgitation. Sometimes, we obtain stress echocardiograms to further collect information to help guide us.

Also, with respect to your aortic root it would be important to know more about the aortic valve, the rate the root has grown over time, and whthere there are other conditions such as Marfan's present.

good luck

[wim]

Thanks for your reaction. Sorry for the title/subject I think I misunderstood a question.

Your reaction is like the docters in the hospital, some say surgery other think it can wait. The riscs of a growing aorta are well known. But what are the riscs of futher atriumsize increase (now 53 mm). And do you think there is a good chance that my AF will disappear after surgery of the mitral valve. It suddenly came after sportactivities due to MVP so I think it should by gone aftere surgery(perhaps to simple).

kind regards

Wim