Placement of Covered Stent followed by Melody Valve

Login

Password

Forgot your password?

Join VuMedi

Select specialty

First name

Last name

Choose Password

About Us
Careers
Partner with us
F.A.Q
Contact us
Terms & conditions
Privacy policy

Playback speed

10 seconds

Placement of Covered Stent followed by Melody Valve

By Pediatric and Adult Interventional Cardiac Symposium FEATURING Makram Ebeid

81 views

March 14, 2014

History:

• 18 year old, Truncusarteriosus s/p surgery as an infant in a different state ...
read more ↘ using 12 mm conduit. In 1999 underwent replacement of the RV to PA conduit using pulmonary homograft. Operative note could not be located.

Physical Findings:

• General: Delayed, suggestive of Di George syndrome

• wt. 61 kg, Ht 160 cm BP 113/71

• Chest CTA,

• Active precordium with RV lift

• 3/6 Harsh ejection systolic murmur heard along the entire precordium

• 2/6 early diastolic murmur at the left sternal border

• Liver palpable at the right coastal margin

• He and his grandmother do not want surgery

Pertinent Tests:

EKG:

• NSR, RBBB

Echo:

• Mild truncal valve regurge and mild truncal valve stenosis

• Severe PI; Severe PS (peak Gradient 97 mmhg, mean gradient 61 mmhg)

CT/MR:

• RV volume 74 ml/M2 with moderate RVH, dilated RA

↖ read less

0 Comments