Patient Question:Disease:Congenital heart disease: 1. Coronary-pulmonary artery fistula?
Disease description:Ultrasound findings.
2-DE: All atrial and large vessel tracings are normal. There is no abnormality in the morphology and motion of each valve. The atrioventricular septum is continuous. Bilateral coronary arteries are normal in extent. LVEF: 68%, LVFS: 37%.
CDFI: Small blue flow was seen in the left lateral wall of the pulmonary artery at 7 mm from the pulmonary valve annulus in diastole, starting at Φ1 mm, with a forward pressure difference of 2.29 m/s and 21 mm Hg. Small regurgitation was seen in the tricuspid valve in systole.
TDI:(multi-tissue Pulmonary): E/A > 1.
Ultrasound suggests.
Congenital heart disease: 1, coronary artery-pulmonary artery fistula?
2, normal range of bilateral coronary arteries.
3, No significant abnormalities in cardiac function.
Electrocardiogram.
Rhythm: sinus
P-R time: 0.16 sec.
Q-T time: 0.31 sec.
Electrocardiographic axis: 40 degrees
Conclusion.
1, Sinus tachycardia.
2, Prolonged P-R period.
Help wanted:Please:What is the cost of the procedure? What is the protocol? Best age group for treatment?
Hospital Department:Department of Cardiovascular Medicine, Nanjing Children’s Hospital
Huang Fuhua, Department of Cardiothoracic Surgery, Nanjing First Hospital, Nanjing, China Reply.
It can be observed and does not require treatment and may not require treatment for life.
Patient Question.
Thank you very much, Dr. Huang!
Reply from Huang Fuhua, Department of Cardiothoracic Surgery, Nanjing First Hospital.
Every six months to a year to check the heart ultrasound.