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so confused

my son has had a VSD. closer @ agae 11 months,now @ the age 22 he has had more heart problem to accure,here r his last reports pls. explain to us what is going or what to except,,
  my son has had a VSD. closer @ agae 11 months,now @ the age 22 he has had more heart problem to accure,here r his last reports pls. explain to us what is going or what to except,,
  M-MODE MEASUREMENTS:
INTERVENTRICULAR SEPTAL WALL THICKNESS:0.9CM
LEFT VENTRICULAR POSTERIOR WALL THICKNESS:1.1CM
LEFT VENTRICULAR INTERNAL DIAMETER:5.6-4.1CM
AORTIC ROOT DIAMETER:4.9CM
AORTIC CUSP SEPERATION:3.4CM
LEFT ATRIAL DIMENSION:4.7CM
CALCULATED EJECTION FRACTION BY M-MODE:52%
   :: 2-D FINDINGS::
THE AORTIC ROOT IS MILDLY DILATED (NOT WELL SEEN). THE ASCENDING AORTA WAS NOT VISUALIZED,COULD NOT RULE OUT ANEURYSM OR DILATION.THE RIGHT CHAMBERS APPEARED TO BE NORMAL IN SIZE & FUNCTION. THE LEFT ATRIUM IS MILDLY DILATED. THE LEFT VENTRICLE IS BORDERLINE NORMAL IN SIZE WITH ANTEROSEPTAL HYPOKINESIS WITH EJECTION FRACTION ESTIMATED & 45-50%. THEE AORTIC,MITRAL & TRICUSPID VALVES OPEN ADEQUATELY. THE PULONARY VALVE WAS NOT WELL SEEN.
  ::DOPPLER ANALYSIS::
THE DOPPLER STUDY NORMAL FORWARD VELOCITIES ACROSS ALL CARDIAC VALVES WITHOUT EVIDENCE OF VALVULAR STENOSIS ORRIGHT OR LEFT VENTRICULAR OUTFLOW TRACT OBSTRUCTION.SPECTRAL & COLOR DOPPLER ANALYIS REVEALES MILD MITRAL & TRICUSPID,& PULMONARY REGURGITATION.THE CALCULATED RIGHT VENTRICULAR SYSTOLI PRESSURE WAS 41 MMHG WHICH COULD BE OVERESTIMATED DUE TO THE INOMPLETE TRICUSPID REGURGITANT JET.ON ONE VIEW THERE WERE EVIDENCE OF VERY MINIMAL LEFT ATRIAL TO RIGHT ATRIAL SHUNTING.NO EVIDENCE OF INTERNENTRICULAR SHUNTING ON THIS STUDY.
    ::RESULTS::
1:MILDLY DILATED AORTIC ROOT (4.9CM NOT WELL SEEN AS MENTIONED)
2:NORMAL RIGHT CHAMBER SIZE AND FUNCTON.
3:MILDLY DILATED LEFT ATRIUM
4:BORDERLINE NORMAL LEFT VNTRICULAR SIZE WITH ANTEROSEPTAL HYPOKINESIS WITH EJECTION FRACTION ESTIMATED @ 45-50%,& CALCULATED @ 52%
5:TRACE PERICARDIAL EFFUSION SEEN
6:MILD MITRAL REGURGITATION WITH OUT PROLAPSE

7:MILD TRICUSPID REGURGITATION WITH POSSIBLE MILD PULMONARY HYPERTENSION WITH CALCULATED RIGHT VENTRICULAR SYSTOLIC PRESSURE OF 41MMHG. WHICH COUL BE OVERESTIMATED DUE TO INCOMPLETE TRICUSPID REGURGITATION JET
8:POSSIBLE EVIDENCE OF MINIMAL LEFT ATRIALTO RIGHT ATRIAL SHUNTING (PATENT VALVE VERSUS MINIMAL ADS)
9:NO EVIDENCE OF INTRACARDIAC SHUNTING.
  
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