Previous report when Preet was 21 days old.
VIEWS - PSLx, PSSx, APICAL 4CH, APICAL2CH
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MITRAL VALVE AORTIC VALVE
AML APPEARANCE Apperance : tricuspid
D-E 08 (15mm-26mm) Root Dimension 09 (20-37mm)
EF Slope 48 (70mm-150mm/sec) Cuspal separation 07 (15-26mm)
EPSS 05 (<10 mm) Closure line thin and central
PML Apperance : other
Motion Paradoxical POLMONARY VALVE
Mitral valve area cm2 Annulus
Sub valvular apparatus : 3+ Appearance
Other EF slope
Wilkins Score 06 (< 9) A wave
DIMENSION M- MODE : Other
RVID 20 (9-26mm) TRICUSPID VALVE
IVS 04 (6-11mm) Appearance
LVIDD 26 (35-57mm) Slope
LVIDS 18 (24-42mm) Other
EDV 24
ESV 10
PW 05 (6-11mm)
EF 61 (64-83 %)
FS 31 (28-44 %)
LA 11 (19-40mm)
DOPPLER STUDIES pulsed, continuous, Hight, PRF, Color Doppler
(A = adult, C = child. Figure in the bracket indicates normal Peak Velocities in M/Sec)
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VALCE VELOCITY M/Sec GRADIANT mm.hg
Mean Max Mean Max
MITRAL - 0.87 A(0.8-1.3) - 3.1
C (0.6-1.3)
A0RTIC - 0.71 A(0.8-1.3) - 2.1
C (0.6-1.3)
TRICUSPID - 0.87 A(0.8-1.3) - 3.1
C (0.6-1.3)
PULMONARY- 1.03 A(0.8-1.3) - 4.3
C (0.6-1.3)
HI,
Preet is 10 months old.
Dear Suhas,
How old is your nephew? The most concerning thing about the numbers reported here is the severe pulmonary hypertension. Oftentimes pulm0onary hypertension is irreversible if the condition has gone untreated for too long. However, if he is still young there is a possibility that the surgery will help to reduce the pressure. I would tend to agree that closing the atrial septal depfect (ASD) and the ventricular septal defect (VSD) are probably a good idea at this point. There will be some risk to the surgery and the surgeon can give an estimate of the risk of mortality during surgery.