14 Review 20.12.07

ID: 0803051132	Name      :  Baby KAVYASHREE∙P
Age : 5 Yrs	Sex          :  Female

                           

DEPARTMENT OF CARDIOLOGY

 

                                                                                    PERMANENT ADDRESS

                                                                                    D/O·MR·PRAGASAM,

                                                                                    A 866 BHEL TOWNSHIP,

                                                                                           BHEL CAMPUS, RANIPET

                                                                                    VELLORE DT·

                                                                                    TamilNadu

                                                                                    632  406

                                                                                    INDIA

PAEDIATRIC FOLLOW-UP CASE RECORD : 20.12.2007

 

DIAGNOSIS:

S/P  ASD CLOSURE  WITH CENTRAL FENESTRATION, PDA LIGATION +,PLICATION OF A- P TRICUSPID      VALVE COMMISSURES AND STEM CELL GIVEN FOR LVN,  MVP  WITH MILD MR× TRIVIAL TR ∙    PARADOXICAL SEPTAL MOTION WITH IMPAIRED  LV FUNCTION(16.11.06)∙

 

PRESENT  MEDICATIONS:

TAB DIGOXIN ½ OD 5/7 DAYS.

T∙CARVEDILOL 3.125 MG TWICE DAILY∙

T . ENVAS 2.5 MG ½ TAB TWICE DAILY  ,

T.LASIX 15 MG TWICE DAILY.  

 

 

HISTORY:  ASYMPTOMATIC .

 

O/E:

 HEIGHT 123 CM, WEIGHT :19 KG, SpO2 – 100%

PULSE- 80/min

BP: 89/50 mm Hg,

CVS: S1 AND S2AUDIBLE∙ S2 VARIABLY SPLIT. NO MURMUR

 

 

 

CONSULTANT COMMENTS:

 

S/P ASD CLOSURE AND PDA LIGATION AND TRANSCORONARY STEM CELL IMPLANTATION FOR                  NON- COMPACTION OF LV WITH LV DYSFUNCTION. CURRENTLY ASYMPTOMATIC WITH MILD LV DILATION AND DYSFUNCTION AND MVP WITH MR.

 

 

 

ID: 0803051132	Name      :  Baby KAVYASHREE∙P
Age : 4 Yrs	Sex          :  Female

 

 

 

ADVICE:

 

. TO CONTINUE SAME MEDICATION .

 

.  FOR CONSIDERATION OF REPEAT TRANSCORONARY STEM CELL IMPLANT.

 

. REVIEW  6  MONTHS

 

 

 

 

DR×PREM SEKAR×, MRCP[PAED]×,

CONSULTANT PAEDIATRIC CARDIOLOGIST

 

FOR FURTHER APPOINTMENTS PLEASE CONTACT 044-42017575 EXTENSION No. – 246                  

 

 

ID: 0803051132	Name      :  Baby KAVYASHREE
Age : 3 Yrs	Sex          :  Female

 

 

PAEDIATRIC ECHO – 20.12.2007

 

TAPE NO: 57

 

TAPE LOG: 9139 –> 9319

 

ECHO DONE BY: DR×PREM SEKAR×, MRCP[PAED]×,

 

M MODE & 2D PARAMETERS:

Parameters	Patient value
LVEF	18%

 

REPORT:

S/P  ASD CLOSURE +CENTRAL FENESTRATION+ PDA LIGATION.

PLICATION OF A-P TRICUSPID VALVE COMMISSURES  

NORMAL SYSTEMIC AND PULMANORY VENOUS DRAINAGE×

NO RESIDUAL ASD.

MILD MVP WITH MILD  TO MODERATE MR∙×

TRIVIAL TR  WITH MAX GDT OF 21 mm Hg

INTACT IVS×

DILATED LA AND LV.

NORMALLY RELATED GREAT ARTERIES∙

TRICOMMISSURAL AORTIC VALVE× NO AS / AR∙

GOOD SIZED  CONFLUENT BRANCH PAs×

NO RESIDUAL PDA×

NO COA∙

LEFT AORTIC ARCH×

NON COMPACTION ENDOCARDIUM WITH GLOBALLY IMPARED LV FUNCTION

 

IMPRESSION:

S/P ASD CLOSURE + CENTRAL FENESTRATION+PDA LIGATION, PLICATION OF A-P TRICUSPID                      VALVE COMMISSURAL∙

NO RESIDUAL ASD ∙

MILD MVP WITH MILD  TO MODERATE MR,

TRIVIAL TR∙

NO RESIDUAL PDA

NON COMPACTION ENDOCARDIUM WITH GLOBALLY IMPAIRED LV FUNCTION∙

 

 

 

DR. R. PREM SEKAR×, MRCP[PAED]×,