Cardiac surgery

Posted by A.SWAMY on Tue, Sep 22, 2009
No of Views(4047)

ECHOCARDIOGRAPHY REPORT[16-7-2009]

M-MODE		DOPPLER
IVSd	0.8cm	MV E Vel	0.40m/s
LVIDd	4.2cm	MV DecT	252ms
LVPWd	0.8cm	MV Dec Slope	1.6m/s2
IVSs	1.5cm	MV A Vel	0.66m/s
LVIDs	2.5cm	MV E/A ratio	0.61
LVPWs	1.3cm	AV Vmax	0.99m/s
EDV[Teach]	81ml	AV max PG	3.92mmHg
ESV[Teach]	22ml	PV V max	0.51m/s
EF [Teach]	72%	PV max PG	1.04mmHg
%FS	41%	TR Vmax	4.37m/s
SV [Teach]	58ml	TR max PG	76.37mmHg
Ao Diam	2.7cm	RAP	15.00mmHg
LA Diam	4.0cm	RVSP	91.37mmHg
LA/Ao	1.48
RVIDd	4.4cm
RVIDs	3.9cm
D-E Excursion	2.6cm
E-F Slope	0.10m/s

2-D AND DOPPLER FINDINGS

Mitral valve: mild MVP noted Tricuspid valve, aortic valve and pulmonic valve normal

severe tricuspid valve regurgitation

Left ventricle internal dimensions, volumes and wall thickness normal

Left atrium is normal

Right ventricle and right atrium dilated. RV contraction is reduced.

Ostium Secundum ASD measuring 3.2 cm with left to right shunt

Intact inter ventricular septum

No LV/LA masses or thrombus. Aorta normal

No pericardial thickening and/ or effusion

ECO DIAGNOSIS

Congenital heart disease

Ostium secundum atrial septal defect

Good left ventricular function

Severe pulmonary arterial hypertension.

CARDIAC CATHETERIZATION STUDY REPORT [16-7-2009

Procedure : RHC DONE BY RFA APPROCH

CATHETERS USED: MULTIPURPOSE 5F AND NIH CATHETERS

CATHETERS USED: SVC-IVC-RA-RV-PA

MULTIPURPOSE, NIH 5F CATHETER ENTERED

THROUGH RFV T-IVC-RA-ASD-LA

HEMODYNAMIC DATA.:

PRESSURE DATA [MMHG] OXIMETERY DATA[%]

PRE POST PRE POST

PA 116/55/75 106/48/75 77.1 81.4

RV 118/10 104/8 80.5

RA 10/4/7 7/3/5 76.7 78.6

LA 15/3/7 84.0

IVC 75.7

PCW 77.7

QP /QS: 3.0

final diognosis: Congenital heart disease

Ostium Secundum Atrial Septal Defect left to right shunt.

Severe pulmonary hypertension.

Good byventricular function

Recommendations: SURGICAL CLOSURE OF ASD.

SIR,

This is the case study of my only son. As per the advise of doctors and reverse shunt threaten he was underwent the said surgery. Surgery done on 24/7/2009. my son died on 28/7/2009 at 7.40 pm. The death report says RV dysfunction. Pulmonary hypertension crises and hepato renal failure. Before surgery the tests made in connection with liver, kidney, are normal. Blood tests are also ok. Why the failure occurred? Is the surgery necessary in the case and stage? Why medications not advised to reduce PAH before surgery? Please reply.

With regards

C.AROCKIASWAMY

adhidhee@yahoo.com.