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What Does This Echo Report Indicate?
Question: 40 year old health women, I work out and eat well. My Echo says left atrium is moderate to serverly dilated by volume. Mitrial valve appears normal. Small perforation of the anterior mitral valve leaflet measuring 38 mm in diameter. No vegetation or abscess. Trace valvular MR as well as through the perforation. EF 66% LVIDd 51.4 mm LVIDs 32.6 mm. LA Diam 35.2 mm Ao Diam 32.0mm LVd Mass rvsd 8.1 mm Ind 91.20 g/m. Is this bad? Can I still exercise? I see a cardiologist next week but I am so worried. Normal blood presuure, I do not take medication. 5 feet 4 1/2 inches weight 122. No smoke no drink. No kids.
Brief Answer:
There is nothing to worry too much! Everything is easily correctable!
Detailed Answer:
Hello!
Thank you for asking on HCM!
Regarding your concern, I would to explain that your trans-thoracic cardiac ultrasound confirm a normal overall cardiac performance (normal ejection fraction). This is very important when making the decision of physical exercise tolerance.
It doesn't seem that you need to limit your physical activity.
There are no evidence of myocardial dysfunction, neither any obvious severe valvular dysfunction yet.
Your dilated left atrium does not impose limitations on your daily physical activity. Don't worry about that!
It doesn't impose any risks for your life too.
Besides that "small perforation" of the anterior mitral valve leaflet (which has lead to mitral regurgitation and subsequent left atrium dilation), all the other echo parameters are quite normal. And this is very important.
Regarding your mitral valve morphology, it is necessary to specify the exact details of that perforation (is it a cleft? or something else? etc), and the true mitral regurgitation through that perforation.
And this investigation would be better performed through trans-esophageal cardiac ultrasound (an optimal visualization of mitral valve apparatus and function can be achieved).
Regarding your future cardiac performance and life expectancy, I would like to assure you that there is nothing to worry about!
Nothing is going to change, whatever be the exact results for trans-esophageal ECHO. These kinds of mitral valve disorders are quite correctable through interventional procedures (surgery, etc).
If no severe mitral valve perforation and regurgitation are confirmed by trans-esophageal ECHO, then a careful medical follow up by repeated physical exam and cardiac ultrasound would be a reasonable option, until a second opinion would be concluded by evolution comparisons (with time).
Hope to have been helpful!
Feel free to ask me whenever you need! Greetings! Dr. Iliri
There is nothing to worry too much! Everything is easily correctable!
Detailed Answer:
Hello!
Thank you for asking on HCM!
Regarding your concern, I would to explain that your trans-thoracic cardiac ultrasound confirm a normal overall cardiac performance (normal ejection fraction). This is very important when making the decision of physical exercise tolerance.
It doesn't seem that you need to limit your physical activity.
There are no evidence of myocardial dysfunction, neither any obvious severe valvular dysfunction yet.
Your dilated left atrium does not impose limitations on your daily physical activity. Don't worry about that!
It doesn't impose any risks for your life too.
Besides that "small perforation" of the anterior mitral valve leaflet (which has lead to mitral regurgitation and subsequent left atrium dilation), all the other echo parameters are quite normal. And this is very important.
Regarding your mitral valve morphology, it is necessary to specify the exact details of that perforation (is it a cleft? or something else? etc), and the true mitral regurgitation through that perforation.
And this investigation would be better performed through trans-esophageal cardiac ultrasound (an optimal visualization of mitral valve apparatus and function can be achieved).
Regarding your future cardiac performance and life expectancy, I would like to assure you that there is nothing to worry about!
Nothing is going to change, whatever be the exact results for trans-esophageal ECHO. These kinds of mitral valve disorders are quite correctable through interventional procedures (surgery, etc).
If no severe mitral valve perforation and regurgitation are confirmed by trans-esophageal ECHO, then a careful medical follow up by repeated physical exam and cardiac ultrasound would be a reasonable option, until a second opinion would be concluded by evolution comparisons (with time).
Hope to have been helpful!
Feel free to ask me whenever you need! Greetings! Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Do you think LVIDd 51.4 mm is high?
Brief Answer:
It is quite normal.
Detailed Answer:
Hi again!
That LV diastolic diameter is quite normal, assuming you have an average body size. No evidence of LV dilation results from your cardiac ultrasound.
So, just relax!
Best regards,
Dr. Iliri
It is quite normal.
Detailed Answer:
Hi again!
That LV diastolic diameter is quite normal, assuming you have an average body size. No evidence of LV dilation results from your cardiac ultrasound.
So, just relax!
Best regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you. Can medication fix mitral valve perforation. I do not want to have surgery. Do you think the Ecogram could be wrong? I might have another one
Thank you so much for all you help
Thank you so much for all you help
Brief Answer:
Additional confirmatory tests should be done!
Detailed Answer:
Hello again!
A mitral valve perforation when clinically important, needs repair procedures (surgery, or any available percutaneous interventions).
Medication is of great help to relieve disturbing symptoms, but could not definitely fix such a structural disorder.
Regarding the cardiac ultrasound accuracy, it remains to be confirmed by a second transthoracic ECHO, and eventually transesophageal echocardiography.
Wish you good health!
Regards,
Dr. Iliri
Additional confirmatory tests should be done!
Detailed Answer:
Hello again!
A mitral valve perforation when clinically important, needs repair procedures (surgery, or any available percutaneous interventions).
Medication is of great help to relieve disturbing symptoms, but could not definitely fix such a structural disorder.
Regarding the cardiac ultrasound accuracy, it remains to be confirmed by a second transthoracic ECHO, and eventually transesophageal echocardiography.
Wish you good health!
Regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for all your help.
Brief Answer:
You are welcome!
Detailed Answer:
Hi!
II'm at your disposal whenever you will need!
Regards,
Dr. Iliri
You are welcome!
Detailed Answer:
Hi!
II'm at your disposal whenever you will need!
Regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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