2d doppler echo results

[jamn75]

What medication/treatments would you recommend for a 2 1/2 yr old patient with these sedated 2-D Doppler Echocardiogram results?:


MITRAL VALVE thickening of the mitral valve leaflets was present.
                         systolic anterior motion of the anterior leaflet of the mitral valve was noted.
LEFT VENTRICLE/LEFT VENTRICULAR OUTFLOW TRACT Moderate concentric left ventricular hypertrophy was present.
                                                                                    A fibromuscular ridge protruding in the left ventricular outflow was present.
AORTIC VALVE hypoplasia of the aortic valve was noted.



DOPPLER STUDY

Moderate to severe regurgitation of the mitral valve was present.
Trivial regurgitation of the tricuspid valve was present.
Doppler interrogation of the pulmonary valve was normal.
Trivial regurgitation of the aortic valve was present.
Severe subaortic stenosis was present.
Trivial left to right shunt was present across the ventricular septum.


CONCLUSION

Moderate to severe mitral valve insufficiency.  {424.0}

Mild aortic valve hypoplasia.  {747.22}

Discrete fibrous subaortic membrane.  {746.81}

Moderate left ventricular hypertrophy.  {429.3}

Qualitatively normal right ventricular function.

Qualitatively normal left ventricular function.

Multiple ventricular septal defects.  {745.4}





DOPPLER MEASURMENTS          result            gradient

Aortic valve

           LV outflow                       0.60              1.40mmHg

           Mean velocity                   3.20            41.00mmHg

Tricuspid Valve

           RV pressure                   26.40            

           TR velocity                       2.20            19.40m/s

[CCF HeartMD-1]

BTW, there is a section in the forums called pediatric heart which you should post your above question too.

[CCF HeartMD-1]

Unfortunately,

We are both adult cardiologists and only see patients > 17-18 years old.  I really feel that the best person to go over these results and make recommendations, would be a pediatric cardiologist.  My guess is that they would recommend surgery at some point in the near future to fix or replace both his aortic and mitral valves and to fix the ventricular septal defects.