Consultation

Submitted by webmaster on Thu, 10/25/2018 - 11:08

My Dad Underwent Mitral valvotomy procedure in May 1975.
He suffered a stroke in 2001 because of blood clot and recovered immediately after he was injected with blood thinners. Since then he has been continuing on anticoagulants. He had a minor episode of dizziness in 2007 post this episode he was on following medicines Acitrom, Digoxin(Lanoxin), Calaptin, Pantop. On last December he had attack and CT report indicated the following
Infarcts in Right Lentiform Nucleus, Right Corona Radiata
Echo doppler test was conducted on three occasions in this episode
19th December: LA (es) 6.8cm, Ao (ed) 3.4cm; IVSD (ed) 0.9cm; LVPWD (ed) 1.1cm; EDD 5.3 cm; ESD 3.2 cm; EF 60%, Thickened Mitral valve, Doming SCF + Calcium++, MVA 0.5cm2
19th Jan: LA 6.2cm, Dilated; LVID (d) 5.1, LVID (s) 3.2, LVEF 66% Aorta 2.6cm MVA by Planimetry 1.8sqcm Specks of calcium, thickened leaflets, chordae restricted
Aortic flow 1.6m/s, Pulmon. flow 1.2 m/s PAT 138 ms
(Test was performed elaborately for 20 min under one sided sleeping position to patient's left side)
21st Jan: LV 5.8X 3.9cm, LVPW 1.3cm, LA 3.1 cm ,AO 5.2cm, EF: 60%, FS: 32%
Pulm flow 0.8m/s, Ao flow 1.5 m/s, mitral PPG: 13mm, MPG 7mm Hg, Mitral flow E>A Severe calcific mitral stenosis, MILd TR, Mild MR good LRV function
horizontal sleeping position
His mitral valve area readings from 2001 and 2007 indicate 1.6 and 1.4 sqcm.
I am now in dilemma to understand which report has actually given correct results and which can be neglected since MVA of 1.8sqcm doesn't hurry us to valve replacement surgery immediately. Can you please guide us regarding the same Please do let me know sir/madam if you need further information