Gautam shah

Name : Gautam Shah
Age : 37
M-Mode/B Mode Measurement
LA = 3.8cm
Aorta 3.5 cm Diastole Systole
LVID : 5.4 cm 3.3cm
IVS : 1.2cm
LVPW : 1.1cm
LV EF : 60%

Mitral Valve Study
Amil : Thickened
PML : Thickened
E-Vel : 0.8m/s E-Grad 3.0 mm/hg
A-vel: 1.1m/s A-Grad 5.0 mm/Hg
Mitral Regurgitation : Mild

TRIcuspic Valve Study
Morphology: Normal
TR vel : 2.7m/s TR Grad 29.0 mm/Hg
Triscuspid Regurgitation: Mild

Aortic Valve Study
Morphology: Thickened
Peal velocity: 3.8m/s peak Grad: 57
Mean vel: 2.6 Grad : mm/Hg
Aortic Annulus : 2.5cm
LVOT Diameter: 2.6cm LVOT VTI: 21.7
AV VTI: 85.0
AORTIC valve area: 135474376470588 cm2
AR jet Vena Contract width: 0.8 cm
Aortic Regurgition : Severe

Pulmonary Valve Study
Morphology: Normal
Peak Velocity: 1.1m/s Peak Grad: 5.0mm/Hg
Pulomonary Regurgitation: Nil

Wall Motion Analysis
Wall Motion : Normal

Sigmental Analysis
IAS: Inact
IVS: Inact
Pericardium: No pericardical effusion seen
Intra-cavity Mass: Not seen
Vegetation: Not seen

Other features:
Aortic annulus: 2.5cm, AR jet Vena contract 0.8cm

Final Impression:
Rheumatic Heart Diseases:
Moderate AS(AVA:1.35cm2 by continuity equation,
peak gradient: 57.0 mm/Hg and
mean gradient : 34.0 mm/Hg),
Severe AR Mild concentric LVH, MR, Mild TR with TRPG: 29.0mmhg),
Grade I LV Diastolic Dysfunction, borderline LV.

1. When to do the surgery?
2. How rapid the valve will damage?
3. What is the best suggestions for future?
4. How to control the damage valve?
5. In which stage patient supposed to do the surgery?
6. At which percent patient supposed to do the surgery?
7. Best solution to protect the valve and good life?

Thank you so much doctor saab for your valuable and motivational information.
You are a God for us.