Report: 2-5-01

Proc. Date: 2-5-01

Patient: Peds, Case Patient Patient ID:12345 Procedure Number: 01233

Age: 2 mo Date of Birth: 4-11-01 Gender: Male

Height (cm): 53 Weight (Kilos): 3.9 BSA: .23

TYPE OF PROCEDURE: Right and Left Heart Cath with LV/AO angio

Cath Intervention: Balloon valvuloplasty; aortic valve

Cath Attending MD: Dr. Abrams Referring MD: Dr. Smith

INDICATIONS FOR CATH:

Cardiac: Aortic stenosis, supravalvular

Non-cardiac: Apnea

CARDIAC EXAM:

ECG: A-V node-reentry HR: 122 Cardiac Sounds: Diastolic murmur

BP: 98/66 ECHO: 2D Echo Echo Findings: Left Ventricle size – upper limit of normal.

OPERATIVE PROCEDURE: The patient was referred to our cath for evaluation of patent ductus arteriosus. Aortic Valvuloplasty was performed. The procedure was tolerated well.

HEMODYNAMIC FINDINGS:

Heart Rate: 122 bpm Rhythm: NSR Status during procedure: Room air/rest

PRESSURES:

SVC (a/v/m): 11/6/5

RA (a/v/m): 5/8,7

RV (s/edp): 45/2/4

Left PA (s/d/m): 55/17/19

PA (s/d/m): 45/15/16

Right PA (s/d/m): 45/12/14

Right PCW (a/v/m): 14/15/13

LA (a/v/m): 13/18/11

LV (s/edp): 99/11

AO (s/d/m): 98/66/77

Oxygen Saturations (%):

SVC (High): 63

SVC: 65

RA: 76

RV: 76

Left PA: 77

PA: 88

Right PA: 75

Left Upper PV: 99

Left Lower PV: 99

LA: 98

LV: 97

Arch: 96

AO: 97

Calculations:

NOTE: Only the fields including results show on the report. For demonstration purposes, a number of calculation fields are shown.

Cardiac Output: (L/min):

CO Index: (L/Min/M2

O2 Consumption (Ml/Min):

SVR (Dynes-sec-cm2):

SVRI (Dynes-sec-cm2/M2):

PVR (Woods units):

PVRI (Woods units/M2:

Aortic Gradient (Peak)

Aortic Gradient (Mean):

Aortic Valve Area (cm2):

Mitral Gradient (Peak):

Mitral Gradient (Mean):

Mitral Valve Area (cm2):

Pulmonary Flow (L/Min):

Systemic Flow (L/Min):

Left to Right Shunt:

Left to Right Ratio:

Right to Left Shunt:

Right to Left Ratio:

ANGIOGRAPHIC FINDINGS:

LV Angiogram: A paragraph is created by clicking on the LV dialog box while viewing images. Items selected from the dialog box are linked and a paragraph describing the LV Angiogram findings is entered here automatically. Hyperlinks to “Play” the cine are also created automatically.

LV End diastole LV end systole

Aortogram:

Pre Valvuloplasty: Additional paragraphs are created by selecting the correct angio name with the User Interface Dialog Boxes. Selected items are linked, creating a sentence or paragraph. Hyperlinks are also created.

Post Valvuloplasty:

By using the User Interface Dialog Boxes the angiographic findings are automatically included in the report. Sentences are created automatically, without depending on a rigid, cumbersome format.

Pre Valvuloplasty Post Valvuloplasty

NOTE: Where diagrams are desirable, a Pick List would allow selection of the appropriate pediatric heart diagram. Clicking on the image could open up a Paint Program to tailor the diagram to the patient’s anatomy.

CONCLUSIONS:

ASD, COARCTATION of the AORTA

RECOMMENDATIONS:

Surgical repair

…………………………………….

Cath or interpreting physician’s name