here's a copy of my flash could you tell me what ya think ouf it i would really appreciate it and i want ya to be strait forward thanks again Doc
Indication: Atypical chest pain
PROTOCOL: Baseline heart rhythm and vital signs were evaluated. The patient was premedicated with nitroglycerin and EKG monitoring used. An intravenous line was established and rapid bolus iodinated contrast was administered while CT images were obtained. No complications were encountered.
Men with aortic stenosis due to bicuspid valves develop symptoms in their 40s and 50s.
If and when the aortic root narrows (stenosis), it can enlarge the left ventrical (pumping chamber) due to an increase of gradient pressure. An enlarged heart can cause arrhythmatic problems (irregular heartbeats) and if untreated the enlarged heart can/will enlarge to a degree that will severly reduce contractility and the heart will fail to pump sufficient blood/oxygen to meet system's demand with congested heart failure.
My daughter is 2.5Y old,in his color doppeler test the evidence of aortic stenosis has found
Report says
Aortic valve opening 11.6mm closure ECCENTRAL
Thickening ++ Mid systolic closure ABSENT
Dimention Aortic root dimeter 15.2mm Left atrium 19.7mm
RVID(ed) 11.3mm LVID(ed) 31.1 LVID(es) 19.4mm
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You have mild aortic stenosis. A normal aortic valve normally does not generate any gradient at rest, and maybe only a small gradient with exercise. With this sized valve and your absence of symptoms you need no other treatment other than coronary artery disease prevention ( with a statin and maybe aspirin) and screening echocardiograms every 3-5 years.
I was diagnosed with Aortic Stenosis in August 2012. I have been living in an area that is at 8,500 feet in elevation. I am experiencing shortness of breath and a persistent cough while I have been living here. I become winded during the execution of small everyday tasks such as moving boxes, raking, and at times, even getting into bed or entering my pick-up. I am asking for an educated opinion as to whether or not I would need to move from my location and get back down to sea level.
Balloon valvuloplasty may relieve aortic valve stenosis and its symptoms, especially in infants and children. However, in adults, the procedure isn't usually successful, and the valve tends to narrow again even after initial success. For these reasons, doctors rarely use balloon valvuloplasty today to treat aortic valve stenosis in adults, except in patients who are too sick to undergo surgery (may provide a few years of relief without much risk!).
2.7cm, my problem is that one Doctor suggest I have aortic valve replacement and other says no need for surgery now and he wants to put me on medification, CAPTOPRIL.Are you on any medification? what ?
Hello. I wanted to ask my son had an aortic valve repair using pericardial grafts in March this year. He is nearly 4 now and when I last took him to the doctor he said he could defiantly hear a stenotic murmur. As far as I was aware when he left hospital he had trivial regurgitation. His last echo summary states
Mild TR
Normal LV systolic function
Trileaflet aortic valve
Redundant NCC, trivial aortic regurgitation. Mild flow acceleration across aortic valve, V max 2.2m/s, mean gradient 10mmhg.
My daugher is 22 months old. We took her in last week for a possible ear infection. She did have an ear infection and we were also directed to make an appointment with a pediatric cardiologist. Forgive me as I'm still new with these terms. She was diagnosed with mild Aortic Valve Stenosis and mild Aortic Insufficiency with Ascending Aorta Dilation. Right now, since it's mild, we were told to just have her back in 6 months for another check up. No restrictions. What are we in for?
It is relatively imprecise, but can get a reasonable reduction in the stenosis. It creates a tear in the valve leaflets in the process. It can also create insufficiency in the process. It is important to understand that the valve will NEVER be made perfect. And, it does depend on the experience and skill of the interventional cardiologist as to how to balance the amount of reduction of stenosis with how much insufficiency is created.
You basically want to postpone doing any surgery on the root as far as possible in case you develop aortic stenosis or aortic regurgitation so that both can be dealt with at the same time. Of couse, once you go pass 6 cm in the root the risk of rupture or dissection increases and this is why we never delay surgery at that point.
The cardiologist told us that echo showed dyskinesia on left ventricular walls and aortic valve stenosis with a severe audible murmur. He also told us that he suffered no MI and that the elevation in BNP and troponins was due to aortic valve problems. My dad suffered a syncope 6 hours after admission. We are considering transferring him to a hospital specialized in cardiac surgery. He is currently on a mechanical ventilator. Your opinion regarding this matter will be highly appreciated.
Dear Doctor,
I am a 45 year old female who has been monitored by a cardiologist every 2-3 years due to a diagnosis as a child of mild-mod. aortic stenosis (bicuspid aortic valve) as well as mild pulmonary stenosis with regurgitation.
At a routine follow up last month, my cardiologist informed me that the aortic stenosis had progressed from 2.5 years ago. The echo currently showed a severe stenosis ( .84 cm2).
These fused leaflets can make it difficult for blood to be pumped out of the heart resulting in aortic stenosis. Aortic stenosis can cause symptoms similar to what you described (although multiple other things can as well). The majority of patients with bicuspid aortic valves will require surgery at some point; although, the timing of when to have surgery depends on many different factors.
Your triglycerides are on the high side.
2 deletion (aka DiGeorge Syndrome, VCFS) She has multiple issue with her heart including ASD, VSD, IAA, Bicuspid Aortic valve, Aortic/Sub-Aortic stenosis, Aberrant left sub-clavian artery and a right aortic arch. Her 1st OHS was to repair the ASD, VSD, and IAA. Her second OHS was to relieve some of the aortic and sub-aortic stenosis, and then a 3rd to implant a pacemaker due to surgical complications from #2.
However, there are normal variants in which these two arise from separate orifices in the left coronary cusp of the aortic valve. There are reports of the LCx arising from the right coronary cusp of the aortic valve. These are typically felt to be benign, ALTHOUGH there may be a higher risk of atherosclerosis in the LCx, especially if it passes in a retroaortic fashion. We also don't understand what you mean by your question regarding the LCx crossing inferiorly to the LAD.
The aortic pressure and left ventricular pressure will help determine if there is any resistance to flow of blood from the left ventricle to the aorta, which can happen with aortic stenosis. Here the values are normal. The ejection fraction is a useful measure of left ventricular performance. The normal range is 63-77% for males and 55-75% for females. It reflects the pumping capacity of the heart. So, a value of 69% is normal.
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