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}