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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Double Outlet Right Ventricle On An Echo Suggest?

Hello, I would like international heart professionals to give me guidance and opinion on my infant son s heart issue. We experience numerous misdiagnosis and negligence in the healthcare area so any suggestions would be greatly appreciated. I was just told that my newborn son (12 days old) has respiratory problem. My wife had elevated sugar level on the week of the delivery. So she ended up in the hospital and had some insulin doses. She was also in controlled diet. When my son was born we were told that the baby had excessive breathing and we were asked to watch out for signs of blueness or abnormal breathing for a month and see if things will get better on his own. When we brought him home he started to have temperature of 101 so we brought him back to the hospital. They performed echocardiogram and found that baby has hole in his heart and may need surgery because of his issues in his heart. We took him to a heart specialist and did another round of echo. I have attached the results below. We were sent home and asked to monitor the baby. Once other reports are back the doctors will discuss the further actions. I don t know the details on that. Please help me translate below result. I just want to double check with international heart professionals before jumping into conclusion of performing a heart operation on an infant. Any suggestions would be helpful. Echocardiography Report -------------------------- M-Mode LV Function: Diastole     Systole LVID:     1.7 cm      1.1 cm IVS:     0.3 cm      LVPW: 0.3 cm EF: 66.0% --------------------------- M-Mode LA/Aorta LA:     1.7 cm AO:     0.9 cm --------------------------- Mitral Valve Study: E-Vel:     1.07 m/s.     E Grad:     4.5 mmHg A-Vel:     0.57 m/s.     A Grad: 1.3 mmHg E/A:      1 AML:     Normal PML:     Normal Mitral valve Score: Mitral Regurgitation: NIL -------------------------- Tricuspid Valve Study: Morphology:     Normal -------------------------- D-Mode Study TR Vel:     2.9 m/s      TR Grad: 33.0 mmHg TRICUSPID REGURGITATION: Gr-II -------------------------- Aortic Valve Study: Aortic Cusps:     Normal      D-Mode LV Ejection Peak Vel:     0.95 m/s. Peak Grad:     3.6 mmHg. AORTIC REGURGITATION: NIL -------------------------- Pulmonary Valve Study: Morphology: Normal D-Mode Study Peak Vel: 1.7 m/s.     Peak Grad: 13.0 mmHg --------------------------- PULMONARY REGURGITATION:     NIL IAS:      Deficient IVS: Deficient Pericardium:      No effusion seen Intracavitary mass:     Not Seen Vegetation:      Not seen Wall Motion Analysis:     No regional wall motion abnormalities ---------------------------- Other Features:      Situs solitus, Levocardia, A-V concordance, V-A discordance, Sub pulmonic VSD, 0.7 cm in size, bidirectional shunt, overriding of pulmonary artery to IVS by 50%, Mitral -pulmonic fibrous continuity absent, aortra arising from RV, Both great arteries lying in same plane, aorta is right to the PA, ASD/PFO present, bidirectional shunt, Mild TR with Mild PAH (estimated PASP: 33+10=43.0 mmHg), No PS, Dilated RA, RV and pulmonary artery, RVH, left sided aortic arch. ---------------------------- Final Impression:     Complex Cyanotic Congenital Heart Disease: Situs Solitus, Levocardia, Double Outlet Right Ventricle (DORV, Taussig -Bing Anomaly) with ASD/ PFO present, No PS ======================================= What does this all mean? Does this look like he has serious issue? Are we overreacting?
Tue, 21 Mar 2017
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Pediatrician 's  Response
In this cyanotic heart disease, both great arteries arises from right ventricle with transposition of great arteries. In this disease, operation (arterial switch) should be done with 2-3month of age. No treatment other than surgery. If surgery not done on time left ventricle become decompressed, surgery become complicated and chances of survival is very less. you should go for surgery as soon as possible
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What Does Double Outlet Right Ventricle On An Echo Suggest?

In this cyanotic heart disease, both great arteries arises from right ventricle with transposition of great arteries. In this disease, operation (arterial switch) should be done with 2-3month of age. No treatment other than surgery. If surgery not done on time left ventricle become decompressed, surgery become complicated and chances of survival is very less. you should go for surgery as soon as possible