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97628 tn?1204462033

Mitral Valve Sclerosis Son Has

Teenaged son's echo report. The echo was done in the GP's office by a kind of "roving" technician and taken to an associated cardiologist for evaluation, the results prompted a recent visit to my own cardiologist. I have truncated it to save space.

"7. Mild pulmonic insufficiency.  
10. Frequent ectopy noted.
11. SBE prophylaxis recommended
SUMMARY:  Mild decrease in left ventricular systolic function with mitral regurgitation and moderate mitral valve leaflet tip sclerosis and low normal right ventricular systolic function."
EF was 50.
The cardiologist noted many extra beats when examining him, he doesn't feel them. She asked if we were originally from this country. We are. He has always been taken to the doctor regularly and has rarely ever been ill, though he was born with an ASD that closed at one year of age. The cardiologist has requested the disk from the "roving" echo, she wants to see it herself and not just the report/summary. This may take up to ten days to acquire.
How does one get sclerosis in a valve? I thought that came from having rheumatic fever ? He's never even had a sore throat. Is this a progressive condition when it is diagnosed as "moderate"?
Could the murmur heard by the GP, that lead to this echo, have been missed for a long while? Could it be congenital?  
I don't understand it.
We live in the D.C. suburbs and a good friend keeps advising :"Hopkins".  
This is my second post for this six month period. I am sorry to use it, but this was unexpected. Thank you for answering.
3 Responses
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Avatar universal
A related discussion, Mitral Valve Scleross was started.
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Avatar universal
I had been diagnosed with mitral valve prolapse with mild regurgitation since the age of 18. All these years I have taken a beta blocker, first inderal and atentetol.  I worry having to be on this medication for all these years, is there evidence of it doing damage to my body.  Mr second question is, Does Mitral Valve with regurg., almost mean that you will need surgery eventually in the future.
Helpful - 0
Avatar universal
kit,

Its not unreasonable at this time to seek a second opinion. If for nothing else --- peace of mind.

Generally when we see mitral valve stenosis at a younger age, it is due to rheumatic disease. That is why your physician inquired about it. There are other congenital forms however.

The progression depends on the particular person and the etiology, and is generally determined by serial echo.   A murmer can come and go depending on a lot of different facotrs. Its possible as your son grew, the murmer became more pronouced.

I would seek the second opinion.

Good luck
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