What is severe subpulmonary stenosis due to mitral valve chordal apparatus with a peak gradient of 72 mmHg?

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My son is 9 months old and was born with a rare heart defect cctga. He was diagnoised 2 months ago and at his echo they wrote that on the results. I am going to ask when I go down in a month but I have noticed there are a few dr's. on here so I was hoping someone would have some insight. What does this mean and what questions should I be asking his card? thank you
CCTGA means congenitally corrected transposition of great arteries. In usual transposition aorta which should carry oxygenated blood gets connected to right ventricle and pulmonary artery which should be carrying deoxygenated blood to lungs gets connected to left ventricle. In congenitally corrected transposition, in addition to this, right atrium (upper chamber) connects to the left ventricle and left atrium connects to the right ventricle. So there is a double reversal which becomes near normal. This is because deoxygenated blood from right atrium goes to left ventricle and then through pulmonary artery, into the lungs for oxygenation. Similarly, oxygenated blood from left atrium goes to right ventricle and to the aorta, into the general circulation. So everything is fine till this as this is near normal functioning of the heart.


The addtional problem which your son is that he has a narrowing below the pulmonary valve, which may require correction at a suitable time, which only the treating doctor can tell you. The narrowing is due to the structures attached to the mitral valve (chordal apparatus) in the left ventricle, the ventricle which is connected to the pulmonary artery in his case. In a normal individual, left ventricle connects to the aorta and not the pulmonary artery.  (+ info)

I am diagnosed with a mitral valve stenosis, and I need a valve replacement thru open heart surgery.?

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Does anybody here have similar condition?
Mitral stenosis is narrowing of the valve between the left atrium (upper chamber) and the left ventricle (lower chamber). The requirement for surgery can be decided only after detailed assessment including an echocardiogram. Only if the valve narrowing is severe and the valve is embedded with calcium will you need valve replacement through open heart surgery. Mild - moderate narrowing may only need medical follow up. Even with severe narrowing, it is possible to enlarge the narrowed valve using balloon, without open heart surgery, under x-ray fluroscopic guidance. This is known as balloon mitral valvotomy.  (+ info)

Why does Acute Rheumatic Fever target the mitral valve causing Mitral Valve Stenosis?

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I'm doing a research paper on Acute Rheumatic Fever and i can find no peer reviewed article or journals that state why Rheumatic Fever mostly targets the Mitral Valve causing mitral valve stenosis in patients and not other heart valves.

Thanks,
Jason
It is the pressure gradient accross the valve when it opens to allow blood flow that is believed to decide the susceptibility to the rhuematic process. Higher the gradient accross, lower the chance of damge. This is supposed tobe the reason why Mitral valve is most vulnerable.

This is a hypothesis suggested years ago and can make an ideal subject for research.  (+ info)

I have mitral valve regurgitation and stenosis. Is this the cause of my night sweats ?

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should i write my will ?
Probably not unless you have an active inflammation or infection in your mitral valve. Look for another cause.

Everyone should have a will.  (+ info)

My son has been treated for Aortic Stenosis he also has a mitral valve in parachute. Is the operation serious?

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My son has been treated for Aortic Stenosis when he was a baby, he also has a mitral valve in parachute. Is the operation dangerous? Is the survival rate high? What are his expectations of living a "normal" life? Is is his life expectancy normal (will he reach a common old age?)
I am sorry to read your son's condition, I have searched out this link and you will get an insight view:

http://www.emedicine.com/ped/topic2178.htm  (+ info)

can I get pregnant with severe to moderate mitral valve stenosis?

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  (+ info)

Could this be Mitral Valve Stenosis..please help!!?

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My mom has had bad anxiety attacks for the past six monthes soemtimes she gets a flushing sensation go through her body when she has them. They seem to be menstrual cycle related. She was diagnosed with anxiety disorder/clinical depression and has been seeign a phschyatrist, who has her on ativan and zoloft and was saying she is fine, but now he told her to get her heart checked, because she hasnt had anxiety attacks before this, so he wanted to check for Mitral Valve Stenosis. She had a EKG done, which was normal, and got a chest X-ray which we havent got the results for. But i am confused, on WebMD it doesnt even list anxiety attacks as oen of the symptoms, and she has never had any other symptoms of it. Plus she HAS had anxiety issues before, they just werent exactly "attacks" Is it possible she has it?? Wouldnt it have showed up in the EKG?
Sometimes because Mitral stenosis can cause palpitations and shortness of breath, in effect nearly mimicking the symptoms of an anxiety attack, an astute clinician would check for it just to ensure that such a possibility is not being missed. Mitral stenosis, or a narrowing of the passage between the heart's left upper chamber and left lower chamber (from a valve that doesn't fully open) causes pressure to build up in the left upper chamber. Over time, this causes that chamber to become enlarged in order to overcome the extra pressure and still pump blood into the left ventricle (the lower chamber), This is usually (but not always) evident on a cardiogram (EKG) as a small downturned tail end of a P wave in Chest Leads V1 & V2.

A better exam to see if its indeed stenosis is to perform an echocardiogram instead. Good luck.

Ralph  (+ info)

Mitral Valve Stenosis?

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Well I had a Anginogram that said I have Mitral Valve Stenosis with the LVEDP was Moderately Elevated and My Right Ventricular Moderately Elevated and My Right Atruim is Moderately Elevated what do all this mean I see my cardiologists in two weeks to go over things. Oh yes they don't say how much the Mitral Valve is narrow.
Well the question is simple why is the pressure in my ventriculars and atruim is moderately elvated. I don't know how bad is my Mitral Valve is narrow
Mitral stenosis (MS) is narrowing of the mitral orifice impeding blood flow from the left atrium to the left ventricle. The (almost) invariable cause is rheumatic fever. Common complications are pulmonary hypertension, atrial fibrillation, and thromboembolism. Symptoms are those of heart failure; signs include an opening snap and a diastolic murmur. Diagnosis is by physical examination and echocardiography. Prognosis is good. Medical treatment includes diuretics, β-blockers or rate-limiting Ca channel blockers, and anticoagulants; effective treatment for more severe disease consists of balloon valvotomy, surgical commissurotomy, or valve replacement.
The normal area of the mitral valve orifice is about 4 to 6 cm2. Under normal conditions, a normal mitral valve will not impede the flow of blood from the left atrium to the left ventricle during (ventricular) diastole, and the pressures in the left atrium and the left ventricle during diastole will be equal. The result is that the left ventricle gets filled with blood during early diastole, with only a small portion of extra blood contributed by contraction of the left atrium (the "atrial kick") during late ventricular diastole.
Patients with mitral stenosis prompts a series of hemodynamic changes that frequently cause deterioration of the patient's clinical status. A reduction in cardiac output, associated with acceleration of heart rate and shortening of the diastolic time, frequently leads to congestive heart failure. In addition, when AF sets in, systemic embolization becomes a real danger.
Please undergo echocardiography test and check whether you have other heart defects such as mitral regurgitation and aortic insufficiency.  (+ info)

approximate cost/expenses for mitral valve replacement at AIIMS,India?

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Iam a patient of mitral stenosis.My doctor opines replacement of mitral valve. I want to do the same at AIIMS,for which Iwill have to accumulate the cost of the procedure.Hence I do ask this question to be prepared financially.
In government hospitals, cost would vary with your income status. So you will have to directly report to AIIMS and find out. Moreover, if there are concessions, there will be delay as well. So it is better that you report early.

You may want to check with Sri Sathya Sai Institute of Higher Medical Sciences which does free surgeries (of course, with a long waiting list) http://www.sssihms.org.in/contact.htm  (+ info)

Mitral valve?

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what is the difference between mitral valve prolapes and mitral regurgitation?
Mitral valve prolapse refers to a condition in which the leaflets of the valve are large and floppy compared to the average. When the ventricle contracts, the valve closes and the flow causes a "pop" as the floppy leaflet fills with blood, much like the way the wind fills a sail. This extra "pop" can be heard with a stethoscope (like a click) but it can often be felt by the person affected which makes them more aware of their heartbeat than the rest of us.
Mitral Valve regurgitation is a condition in which the mitral valve leaks after it is closed leading to a loss of efficiency of blood pumping and a drop in blood pressure. It is often a small leak and is of little consequence and is often associated with mitral valve prolapse. This leak can sometimes be heard with a stethoscope as a murmur under the left arm.
The combination of both situations is known as "Barlow's click-murmur syndrome".
Old Doc  (+ info)

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