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
Congenital heart disease
Ostium secundum atrial septal defect
Good left ventricular function
Severe pulmonary arterial hypertension.
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
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