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right to left shunt at PFO
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right to left shunt at PFO

My son is 40 days old and he got problem in breathing just after a few days of his birth. now the problem got severe. we consulted doctor and he advised to get echocardiogram of the child. I am sending you the findings of echocardiography. kindly suggest the suitable treatment method and give the best doctors' names in this field. Doctors here are suggesting surgery.please give your opinion.
FINDINGS:
EF    68%
STRUCTURAL INTERPRETATION:
Situs solitus
Normal LV size and function
Normal Mitral and aortic valves
Enlarged RV
Norma pulmonic and tricuspid valves
PFO seen
COLOR FLOW:
Right to left shunt at PFO
P/W DOPPLER:
Estimated RV/MPA pressure 60/16mm/Hg
CONCLUSION:
Enlarged right ventricle with moderate pulmonary artery hypertension.
PFO with right to left shunt.
C/w Total annomalous pulmonary venous drainage into SVC.
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242508_tn?1287427246
It sounds like you son has sinus venosus ASD with associated anomalous drainage of the pulmonary vein which drains into the right side of heart, thereby, increasing pulmonary flow leading to pulmonary HTN.  He needs surgery and there is a good chance that his condition will improve.  This can be done best either here at the Cleveland Clinic by Dr. Smedira or in Mayo Clinic.  
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