[HSF] congenital case

[Tea Acuff]

Erdinc,
Why did they push for cath? Is your son symptomatic or were they just checking to see if the lungs are protected by the RVOT obstruction? If it is the latter, waiting would seem a good idea.
tea
Please note that i do not currently practice pedi, but the arguments should be understandable to both of us.


----- Original Message ----
From: prasannasimha <prasannasimha at gmail.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Saturday, March 10, 2007 8:00:24 AM
Subject: Re: [HSF] congenital case


Erdinc,
I did not realize they were your own children.
Please feel free to contact me in case you need any help.
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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