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Heart & Cardiology/Echo Results - Patent Ductus Arteriosis

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Question
Hi Dr Ahmed.
I received my echo results in the mail today. History: Xena,18yo Female, very small PDA (asymptomatic), otherwise healthy.
Here are my abnormal results:
- RVSP = 32mmHg.
- LA dilated, volume: 38ml/m2.
- Mitral (grade 2/4) and tricuspid (grade 1/4) regurgitation.
- PAEDP = 8mmHg.
- Mild pulmonary regurgitation.
Are these results any reason for PDA closure, or other types of follow up?

Answer
Hi,

Usually in adults we close PDA's in the following settings

1) symptoms and evidence of significant blood shunting across the PDA,
2) evidence of elevated blood pressures in the lung,
3) enlarged heart chambers, or prior infection in the heart.

The echocardiogram can assess for pretty much all of these things. So since you have been reassured the only thing needed is regular follow up with an echocardiogram every few years or so. They key is get assessed by a specialist and if they are reassured then you can be too.

Hope that was helpful,  

Heart & Cardiology

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Mustafa Ahmed MD

Expertise

Cardiology, Interventional Cardiology, Cardiac Surgery, Hypertension, Pulmonary Embolism, Structural and Valve Disease

Experience

Board Certification Internal Medicine and Cardiology Interventional and Structural Cardiology

Organizations
http://blog.myheart.net

Publications
Multiple Publications In High Quality Peer Reviewed Journals. Internationally Recognized.

Education/Credentials
MD from The Royal Victoria University of Manchester, England Medicine, Cardiology, Interventional Cardiology, Research Training - University of Alabama

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