Question of the Week

Question :

Posted On : 01 May 2005

A 12 year old male child is suffering from RHD with Mitral regurgitation and Mitral Stenosis. Echocardiogram confirms these valvular lesions and suggests severe Pulmonary artery hypertension. What is the line of treatment in this patient as Valvuloplasty may be contraindicated becase of severe PAH?

Expert Answer :

No expert answer available.

Answer Discussion :

susan omer mohamed

coservative therapy like druge reduce the cardiac afterload {angiotensin inhibitors}, nitrous peroxid

19 years ago

susan omer mohamed

reduse cardiac afterload by angiotensin inhibitors, nitrous peroxid inhalation

19 years ago

pediatriconcall

How much is the degree of Mitral stenosis {MS} and Mitral regurgitation {MR}? If MS is more than MR, then valvuloplasty should be the treatment of choice as the procedure would reduce the Pulmonary hypertension. If MR is more than MS, then valve repair is indicated to prevent worsening. Medical therapy with vasodilators should continue. Pulmonary hypertension is not a contraindication to valvuloplasty though with high risk.

19 years ago

Question of the Week

Home

Partner Sites