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Forum Name: Valvular Heart Diseases

Question: mitral valve repair


 ddavey - Tue Oct 03, 2006 11:07 pm

wondering if mitral valve repair is indicated for my 21 yr old daughter with dilated cardiomyopathy latest echo of 9/12/06

M-Mode
LA/Ao 1.04
IVSd 0.86cm
LVIDd 5.98cm
LVPWd 0.81cm
IVSs 1.21cm
LVIDs 4.08cm
EF(teich) 58.87%

DOPPLER
MV E Vel 0.86m/s
MV A Vel 0.60m/s
MV E/A Ratio 1.43
MR Vmax5.00m/s
A V Vmax 1.26m/s
A V maxPG 6.33mmHg
TR Vmax 2.14m/s

LV EF=45% MV EA=104 MV DT=239
dP/dT=727 LV mass index 110 (104 in mar 05)
 ddavey - Fri Dec 01, 2006 8:28 pm

ddavey wrote:wondering if mitral valve repair is indicated for my 21 yr old daughter with dilated cardiomyopathy latest echo of 9/12/06

M-Mode
LA/Ao 1.
04
IVSd 0.
86cm
LVIDd 5.
98cm
LVPWd 0.
81cm
IVSs 1.
21cm
LVIDs 4.
08cm
EF(teich) 58.
87%

DOPPLER
MV E Vel 0.
86m/s
MV A Vel 0.
60m/s
MV E/A Ratio 1.
43
MR Vmax5.
00m/s
A V Vmax 1.
26m/s
A V maxPG 6.
33mmHg
TR Vmax 2.
14m/s

LV EF=45% MV EA=104 MV DT=239
dP/dT=727 LV mass index 110 (104 in mar 05)

 John Kenyon, CNA - Wed Jul 16, 2008 9:10 pm

User avatar Hello -

Based on the echo and doppler study results you've posted here I would say it didn't seem, at that time, that mitral replacement was yet indicated, although your daughter certainly would have needed to be followed to be sure the problem hadn't progressed. You don't mention symptoms or limitations, either, but with an EF of 48 it is entirely possible she could have been functioning normally. Hoever, since the malfunctioning valve had already caused some dilation of the left ventricle (LV) I am going to assume the problem has been going on for some time and is therefore progressive. There isn't a lot of wiggle room at this point, so if your daughter hasn't already had the valve replaced by now, I would be surprised if replacement wasn't in the planning stage at least.

We'd like very much to know how things have gone since this post. I hope you will get back to us and that your daughter is doing well.

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