Guest guest Posted November 25, 2000 Report Share Posted November 25, 2000 This is my first experience with this stuff, any help on the s/l and/or comments on anything else is appreciated. the patient had a s/l big left to right shunt and high pulmonary pressures preoperatively and postoperatively, and in the operating room it was noted that the left AV valve was quite small and not much could be done with it because of that. The patient went home from the hospital on oxygen and at discharge had, by echo, elevated pulmonary artery pressures and significant s/l left suddely revalve regurg. OR is it: left sided valvular regurgitation??? We entered the left atrium after angiography and the mean pressure there was 21 with a mean transmitral gradient of about 10 or 11 mm and then they s/l weighed the ED gradient of 16. Angiographically, there is excellent LV function with severe MR, no residual ASD is noted. ......by transesophageal echo at the mechanism of the AV valve regurgitation, and it looks like the anterior s/l leaflet within the mitral is abnormal, thickened and relatively immobile, so there is s/l non-coaptation with severe central MR. B feel free to email me! kbmjoyce@... EarthLink: It's your Internet. Quote Link to comment Share on other sites More sharing options...
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