Day 129
Isabelle has an ekg and echo today and they determined there are a few things we need to keep an eye on. UGH.
Here is the summary from the doctor: She has a couple of small “patch margin” VSDs and one very small patch margin ASD. There is very mild left ventricular outflow tract (LVOT) obstruction, likely the result of the mitral valve repair (we see this with some regularity and when mild it is no cause for concern). There was mild mitral regurgitation (often seen after this type of repair). The left ventricular function looked normal. I just looked over the pre-discharge echo report (thanks for giving me access! Dr. Breitbart’s office hasn’t faxed over a copy yet) and everything that I mention above was noted on the pre-discharge echo with the exception of the patch margin ASD (the VSD was noted but not the ASD), and the LVOT obstruction. We were likely able to see these today and not in the pre-discharge study perhaps because she was so angry with me while I was doing the study. This increases the pressures in the chambers and makes the flow between them a little more forceful.
Here is the summary from the doctor: She has a couple of small “patch margin” VSDs and one very small patch margin ASD. There is very mild left ventricular outflow tract (LVOT) obstruction, likely the result of the mitral valve repair (we see this with some regularity and when mild it is no cause for concern). There was mild mitral regurgitation (often seen after this type of repair). The left ventricular function looked normal. I just looked over the pre-discharge echo report (thanks for giving me access! Dr. Breitbart’s office hasn’t faxed over a copy yet) and everything that I mention above was noted on the pre-discharge echo with the exception of the patch margin ASD (the VSD was noted but not the ASD), and the LVOT obstruction. We were likely able to see these today and not in the pre-discharge study perhaps because she was so angry with me while I was doing the study. This increases the pressures in the chambers and makes the flow between them a little more forceful.
Third, there’s not a big change between today and pre-discharge echo. As I mentioned earlier we see this all the time after this sort of repair, and these findings usually don’t amount to anything to the extent that it was not inaccurate to say that things looked great.
Fourth, nothing for you to do to prevent things from worsening.
Fifth, yes, these are minor issues and it would be very unlikely for them to require any sort of invasive treatment.
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