[HSF] congenital case

[erdinç naseri]

Prassana ,
Unfortunately cardiologist's opinion is hypertrophic CMP.Can it be dopamine 
induced hypertrophy?what is the most appropriate time for infundibular 
resection?
erdinc


>From: prasannasimha <prasannasimha at gmail.com>
>Reply-To: OpenHeart-L at lists.hsforum.com
>To: OpenHeart-L at lists.hsforum.com
>Subject: Re: [HSF] congenital case
>Date: Sat, 10 Mar 2007 16:39:07 +0530
>
>The LVH is unusual - what is the cause needs to be determined. Is there any 
>LVOTO ? The RVOTO would be addressed by infundibular resection but why the 
>LVH ?
>Prasanna
>
>erdinç naseri wrote:
>>
>>Dear All,
>>I will ask your opininon about the treatment of the following case ( who 
>>is one of my prematurely born twins):5 months old male( 2.5 months 
>>corrected for prematurity),Gestational DM ,ICU stay with prolonged 
>>Dopamine use for 2 months.
>>Echo:Severe concentric LVH ( specially subarterial IVS) mild hypertrophy 
>>of RV, RVOT gradient of severe magnitude
>>Right heart cath( yesterday):severe infundibular RVOT stenosis which is 
>>partly dynamic.
>>My questions:1.Is this LVH reversible?
>>                   2.Surgical options? when?what?
>>Thanks
>>Erdinc
>>
>>
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