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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Blood Clot In Lungs, Suffered Mini Stroke. Had CT Scan. On Verapamil. What Does Dilated Aortic Root Refer To?

My father had a blood clot in his lung and suffered a mini stroke last week. They have released him after placing a filter in his vein, and were more concerned with a mass in his lung found while doing the CT scan for the blood clot...(So am I, but that s not what my question was about..) They told us that the right side of his heart is under strain, but when I obtained the medical records, it looks to me more like it s in failure. The things I read look terrifying. I need someone to be straight with me, based on what the results say....they didn t even refer him to a cardiologist, and he s only on verapamil. will ANY of this resolve after healing from the blood clot? Should he be on a different kind of medicine? Is there any hope for him healing from any of this? Below are what the ECHO said: Left ventricular size is normal. left ventricular wall thickness is normal. segmental left ventricular function is normal. overall left ventricular function is normal with an estimated ejection fraction of 55-60 percent. There is flattening of the inverventricular septum, consistent with pulmonary hypertension. Right ventricular size is severely dilated. Right ventricular wall thickness is severely increased, consistent with right ventricular hypertrophy. right ventricular function is severely decreased. the right ventricular tapse is 2.7 cm. left atrial size is normal. right atrial size is mildly enlarged. The aortic root is mildly dilated. There is moderate mitral regurgitation, severe tricuspid regurgitation. PLEASE HELP me understand if there is any help/hope at all, here.
Mon, 11 Nov 2013
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Pulmonologist,  's  Response
The dilated aortic root is often completely asymptomatic and found incidentally on routine imaging studies such as chest radiograph, echocardiography, chest computed tomography, or magnetic resonance imaging. The dilated aortic root may be associated with underlying aortic valve abnormalities as seen with bicuspid aortic valve. It may also lead to the awareness of important underlying connective tissue disorders like the Marfan syndrome.
Whatever case history you have narrated here, it seems to be a case of Pulmonary embolism with Right ventricular strain and stroke as its complication, which might have been treated with thrombolytic therapy and now filters placed in his veins to prevent further episodes of PE.
Patient needs to be put on low dose heparin and further advise for prevention of recurrence of PE.;
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Blood Clot In Lungs, Suffered Mini Stroke. Had CT Scan. On Verapamil. What Does Dilated Aortic Root Refer To?

The dilated aortic root is often completely asymptomatic and found incidentally on routine imaging studies such as chest radiograph, echocardiography, chest computed tomography, or magnetic resonance imaging. The dilated aortic root may be associated with underlying aortic valve abnormalities as seen with bicuspid aortic valve. It may also lead to the awareness of important underlying connective tissue disorders like the Marfan syndrome. Whatever case history you have narrated here, it seems to be a case of Pulmonary embolism with Right ventricular strain and stroke as its complication, which might have been treated with thrombolytic therapy and now filters placed in his veins to prevent further episodes of PE. Patient needs to be put on low dose heparin and further advise for prevention of recurrence of PE.;