Wren had his 6 monthly cardiology clinic this afternoon. The clinic visit takes about one and half hours and includes echo, EKG, weight, growth and cardiologist consult. The background to the visit is that Wren's last visit showed a mild progression in the stenosis of his heart and the gradient across his aortic valve was 44. At a score of 50 we need to "talk about intervention". We have these 4-6 monthly clinic visits to decide when he will need the next cath or surgery.
The happy news is that he is stable.
This means he has:
- mild mitral regurgitation,
- mild-moderate mitral stenosis,
- moderate sub-aortic stenosis,
- aortic valve stenosis (the most worrying area now, contributing most to his gradient),
- mild thickening of the left ventricle.
There was good news in one area, an actual improvement. This is the first time we have ever seen an improvement in pressures so I am very happy. The improvement is in the pressures in his lungs. These returned to normal this echo. The implication of raised pulmonary pressures is that his left atrium would be under higher pressure from worsening mitral stenosis.
Dr Lewin said that today's echo suggests that Wren's heart and blood flow are growing proportionally with him although he has been growing well.
He is now 16.1 kg (35.5lbs and 63rd percentile), and
40.47 inches (78th percentile)
I am happy that we are finally cleared to travel to South Africa!