deek
Well-known member
Hi ALL. Sorry for my absense.
Here is the skinny on me - I'm 1.6 years post mitral valve repair with annuloplasty ring for severe mitral regurgitation and have never recovered. Been experiencing extreme shortness of breath, lung congestion, cough, palpatations, chest discomfort prior to and post-op, which has worsened. All this is exacerbated from "minimal" exertion. I have complete exercise intolerance. I've had several echo's since MVR which have indicated the following: cardiomyopathy, stage 3 diastolic dysfunction, moderate tricuspid regurgitation, moderate pulmonary hypertension, severe hypertension and the latest, mitral stenosis. Cardiologist refered me to PH Specialist who FINALLY ordered a RHC/LHC and found the pressures on both the left and right side to be moderately elevated - 47mmHG (MPAP); 27 (PCWP), pulmonary hypertension secondary to moderate mitral stenosis. The RHC report listed the MVA as 1.5; Mean Mitral Gradient 9. These numbers are at rest. Again, symptoms become extreme with minimal exertion...being chest congestion, cough, shortness of breath, palpatations. Both PH Specialist and Cardiologist suggested that perhaps my annuloplasty ring was either too tight or too small (my surgeon is known for undersizing the ring...called the Bolling Procedure...Steven Bolling is my surgeon.) Anyway, surgeon looked at RHC report and ordered TEE, which I have tomorrow. I'm thinking another surgery is inevitiable at this point but he hasn't given me his interpretation yet. Waiting on TEE. Any thoughts? Anyone out there experience this or something similar. Thank you for helping me out with this. Hope all is well with all of you.
Dee
Here is the skinny on me - I'm 1.6 years post mitral valve repair with annuloplasty ring for severe mitral regurgitation and have never recovered. Been experiencing extreme shortness of breath, lung congestion, cough, palpatations, chest discomfort prior to and post-op, which has worsened. All this is exacerbated from "minimal" exertion. I have complete exercise intolerance. I've had several echo's since MVR which have indicated the following: cardiomyopathy, stage 3 diastolic dysfunction, moderate tricuspid regurgitation, moderate pulmonary hypertension, severe hypertension and the latest, mitral stenosis. Cardiologist refered me to PH Specialist who FINALLY ordered a RHC/LHC and found the pressures on both the left and right side to be moderately elevated - 47mmHG (MPAP); 27 (PCWP), pulmonary hypertension secondary to moderate mitral stenosis. The RHC report listed the MVA as 1.5; Mean Mitral Gradient 9. These numbers are at rest. Again, symptoms become extreme with minimal exertion...being chest congestion, cough, shortness of breath, palpatations. Both PH Specialist and Cardiologist suggested that perhaps my annuloplasty ring was either too tight or too small (my surgeon is known for undersizing the ring...called the Bolling Procedure...Steven Bolling is my surgeon.) Anyway, surgeon looked at RHC report and ordered TEE, which I have tomorrow. I'm thinking another surgery is inevitiable at this point but he hasn't given me his interpretation yet. Waiting on TEE. Any thoughts? Anyone out there experience this or something similar. Thank you for helping me out with this. Hope all is well with all of you.
Dee
