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What Do These Echocardiogram And TEE Reports Indicate?
Question: After pregnancy home test, for the first time we went for general check-up. The gynaecologist found Heart murmur and referred to Cardiologist.
(Just to give background about Heart murmur, actually heart hole was found in her (my wife) childhood at the age of 8 or 12 years due to continuous fever, cold etc. So she went through some medication(not sure about medicine names) and up-till now she has no problems. So they were under impression that it got closed.
So no symptoms and no hospital. Never been to hospital till now.)
We consulted the paediatric Cardiologist :
She suggested to go for 2D Echo:
1) After thorough test of 2D Echo in all possible angles:
2) She had doubt about SVD type of ASD(?)
3) She had doubt about Anamulous RVPV draining to SVC(?)
4) Found enlargement of RA/RV
5) Finally advised TEE to confirm above doubts as couldn't able to check from top angle in 2D.
TEE results:
1) As suspected, found Large 22mm SVC type ASD with L-->R shunt(> 2:1)
2) As suspected, found Anamulous RVPV into SVC --> RA
3) Dilated CS
4) Dilated RA/RV
5) RVSP around 44+ m of Hg.
6) mild pericardial effusion
Conclusion:
1) No medication prescribed, suggested definite surgical closure(surgery) after delivery. She said will close the defect and also correct the Anamulous of RVPV draining to SVC
2) And said if at all required, will give medicine during 7-9 months time
Will there be any complications during 6-9 months and during final delivery?
Any chance of getting these congenital heart diseases to my baby?
Should I go for pregnancy? or do surgical correction now ?
Sorry for the lengthy description, hope you can understand my worries!!!
(Just to give background about Heart murmur, actually heart hole was found in her (my wife) childhood at the age of 8 or 12 years due to continuous fever, cold etc. So she went through some medication(not sure about medicine names) and up-till now she has no problems. So they were under impression that it got closed.
So no symptoms and no hospital. Never been to hospital till now.)
We consulted the paediatric Cardiologist :
She suggested to go for 2D Echo:
1) After thorough test of 2D Echo in all possible angles:
2) She had doubt about SVD type of ASD(?)
3) She had doubt about Anamulous RVPV draining to SVC(?)
4) Found enlargement of RA/RV
5) Finally advised TEE to confirm above doubts as couldn't able to check from top angle in 2D.
TEE results:
1) As suspected, found Large 22mm SVC type ASD with L-->R shunt(> 2:1)
2) As suspected, found Anamulous RVPV into SVC --> RA
3) Dilated CS
4) Dilated RA/RV
5) RVSP around 44+ m of Hg.
6) mild pericardial effusion
Conclusion:
1) No medication prescribed, suggested definite surgical closure(surgery) after delivery. She said will close the defect and also correct the Anamulous of RVPV draining to SVC
2) And said if at all required, will give medicine during 7-9 months time
Will there be any complications during 6-9 months and during final delivery?
Any chance of getting these congenital heart diseases to my baby?
Should I go for pregnancy? or do surgical correction now ?
Sorry for the lengthy description, hope you can understand my worries!!!
Brief Answer:
You can go ahead with pregnancy. Surgical correction need not be done now
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have carefully gone through the details very carefully and understand your concerns. Let me assure you that I do not find it alarming. The ASD has been with her ever since birth and in most cases it goes undetected till much later in life till there is reversal in shunt. Under normal circumstances the pressure on the left side of the heart is greater than that on the right. Hence through the opening (ASD), the blood is shunted from left to right. Till now there has been no reversal of shunt as right to left although the right atrium and ventricle have been dilated to some extent. Under such a circumstance I do not think that surgical correction is needed and neither do I expect any complication later during the pregnancy or during the delivery.
However, the opinion of a cardiologist might be more valuable than mine but I have expressed my views. I think that you can go ahead with your pregnancy.
You can go ahead with pregnancy. Surgical correction need not be done now
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have carefully gone through the details very carefully and understand your concerns. Let me assure you that I do not find it alarming. The ASD has been with her ever since birth and in most cases it goes undetected till much later in life till there is reversal in shunt. Under normal circumstances the pressure on the left side of the heart is greater than that on the right. Hence through the opening (ASD), the blood is shunted from left to right. Till now there has been no reversal of shunt as right to left although the right atrium and ventricle have been dilated to some extent. Under such a circumstance I do not think that surgical correction is needed and neither do I expect any complication later during the pregnancy or during the delivery.
However, the opinion of a cardiologist might be more valuable than mine but I have expressed my views. I think that you can go ahead with your pregnancy.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi,
Thank you so much for the details.
In fact I was chosen Cardiac Specialist for my question.
But not sure it went to Physician.
Thanks.
Thank you so much for the details.
In fact I was chosen Cardiac Specialist for my question.
But not sure it went to Physician.
Thanks.
Brief Answer:
You need not worry
Detailed Answer:
Thanks for writing back.
Glad to know that my explanation helped.
You have posted it in the 'Ask a Doctor' category ('Ask a Specialist' has a higher price tag) and it was posted on a common pool from I answered it since I found my knowledge of the subject reasonable.
Let me assure that you can safely ask her to continue the pregnancy without worries. After the pregnancy you can decide to get it operated or leave it alone. I will prefer the latter since the risks associated with open heart surgery are significant on one hand and unnecessary on the other at least until the shunt reversal occurs.
Hope that helped. If it helped, I would request you to close the thread with a positive review and a 5 star rating.
Regards
You need not worry
Detailed Answer:
Thanks for writing back.
Glad to know that my explanation helped.
You have posted it in the 'Ask a Doctor' category ('Ask a Specialist' has a higher price tag) and it was posted on a common pool from I answered it since I found my knowledge of the subject reasonable.
Let me assure that you can safely ask her to continue the pregnancy without worries. After the pregnancy you can decide to get it operated or leave it alone. I will prefer the latter since the risks associated with open heart surgery are significant on one hand and unnecessary on the other at least until the shunt reversal occurs.
Hope that helped. If it helped, I would request you to close the thread with a positive review and a 5 star rating.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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