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Rich
medicine forum beginner
Joined: 30 Apr 2005
Posts: 6
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 Posted: Sat Apr 30, 2005 10:50 pm Post subject:
Jugular veins pulsating hard
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I have a 3 year old son who was born with a bicuspid aortic valve, VSD, and
a right sided aortic arch. The cardiologist never recommended surgery for
the VSD, which was a grade 3 and now closing up. He goes in for an
echocardiogram once every year.
Today I noticed his jugular veins pulsating excessively while playing
outside. I called the nurse and she said it didn't sound like heart failure,
since he had no other symptoms. Lips are not blue, not pale, not breathing
hard, etc.
The last echo report:
1. Aortic root dimensions indicate significant enlargement with a Z-value of
4.86.
Z score over +2.0 is statistically out of the normal range.. but the
cardiologist said this isn't significant since he was throwing a tantrum
while having the echocardiogram.
2. Aortic annulus dilated.
Don't know what this means. The ring of the aortic valve is larger than
expected? Was told not to worry about this.
3. Small VSD with high-velocity left-to-right shunting suggests normal right
ventricular pressures.
I was told this is an improvement over that last reading.
That's all I know about his heart, other than the fact that he has some vein
anomalies like a vascular ring. What would cause his jugular vein to pulsate
excessively? At the time I saw it his heart rate was maybe 80 or 90, which
is about normal for him.
Thanks |
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Andrew B. Chung, MD/PhD
medicine forum Guru
Joined: 25 Mar 2005
Posts: 8540
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| Posted: Sun May 01, 2005 12:49 am Post subject:
Re: Jugular veins pulsating hard
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Rich wrote:
| Quote: |
I have a 3 year old son who was born with a bicuspid aortic valve, VSD, and
a right sided aortic arch. The cardiologist never recommended surgery for
the VSD, which was a grade 3 and now closing up. He goes in for an
echocardiogram once every year.
Today I noticed his jugular veins pulsating excessively while playing
outside. I called the nurse and she said it didn't sound like heart failure,
since he had no other symptoms. Lips are not blue, not pale, not breathing
hard, etc.
The last echo report:
1. Aortic root dimensions indicate significant enlargement with a Z-value of
4.86.
Z score over +2.0 is statistically out of the normal range.. but the
cardiologist said this isn't significant since he was throwing a tantrum
while having the echocardiogram.
2. Aortic annulus dilated.
Don't know what this means. The ring of the aortic valve is larger than
expected? Was told not to worry about this.
3. Small VSD with high-velocity left-to-right shunting suggests normal right
ventricular pressures.
I was told this is an improvement over that last reading.
That's all I know about his heart, other than the fact that he has some vein
anomalies like a vascular ring. What would cause his jugular vein to pulsate
excessively?
|
Might be because there is some tricuspid regurgitation (leaking from the
heart valve between the right atrium and right ventricle). This might
have been obscured by the doppler signals from the VSD.
| Quote: | At the time I saw it his heart rate was maybe 80 or 90, which
is about normal for him.
Thanks
|
You are welcome 
At His service,
Andrew
--
Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
**
Suggested Reading:
(1) http://makeashorterlink.com/?G1D5217EA
(2) http://makeashorterlink.com/?B2B851EFA
(3) http://makeashorterlink.com/?X1C62661A
(4) http://makeashorterlink.com/?U1E13130A
(5) http://makeashorterlink.com/?K6F72510A
(6) http://makeashorterlink.com/?I24E5151A
(7) http://makeashorterlink.com/?I22222129 |
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Rich
medicine forum beginner
Joined: 30 Apr 2005
Posts: 6
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| Posted: Sun May 01, 2005 2:04 am Post subject:
Re: Jugular veins pulsating hard
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"Andrew B. Chung, MD/PhD" <andrew@heartmdphd.com> wrote in message
news:427443A2.4591ECF6@heartmdphd.com...
| Quote: | Rich wrote:
I have a 3 year old son who was born with a bicuspid aortic valve, VSD,
and
a right sided aortic arch. The cardiologist never recommended surgery
for
the VSD, which was a grade 3 and now closing up. He goes in for an
echocardiogram once every year.
Today I noticed his jugular veins pulsating excessively while playing
outside. I called the nurse and she said it didn't sound like heart
failure,
since he had no other symptoms. Lips are not blue, not pale, not
breathing
hard, etc.
The last echo report:
1. Aortic root dimensions indicate significant enlargement with a
Z-value of
4.86.
Z score over +2.0 is statistically out of the normal range.. but the
cardiologist said this isn't significant since he was throwing a tantrum
while having the echocardiogram.
2. Aortic annulus dilated.
Don't know what this means. The ring of the aortic valve is larger than
expected? Was told not to worry about this.
3. Small VSD with high-velocity left-to-right shunting suggests normal
right
ventricular pressures.
I was told this is an improvement over that last reading.
That's all I know about his heart, other than the fact that he has some
vein
anomalies like a vascular ring. What would cause his jugular vein to
pulsate
excessively?
Might be because there is some tricuspid regurgitation (leaking from the
heart valve between the right atrium and right ventricle). This might
have been obscured by the doppler signals from the VSD.
|
Is that a bad thing in and of its own, or just something that happens as
sort of a side effect from his other heart anomalies, so to speak?
Thanks again Dr. Chung. You answered questions about my son before he was
even born, 3 years ago and those answers helped us pick the right
cardiologist. Not sure if you remember. Thanks.
Richard
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Andrew B. Chung, MD/PhD
medicine forum Guru
Joined: 25 Mar 2005
Posts: 8540
|
| Posted: Sun May 01, 2005 4:20 am Post subject:
Re: Jugular veins pulsating hard
|
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Rich wrote:
| Quote: |
"Andrew B. Chung, MD/PhD" <andrew@heartmdphd.com> wrote in message
news:427443A2.4591ECF6@heartmdphd.com...
Rich wrote:
I have a 3 year old son who was born with a bicuspid aortic valve, VSD,
and
a right sided aortic arch. The cardiologist never recommended surgery
for
the VSD, which was a grade 3 and now closing up. He goes in for an
echocardiogram once every year.
Today I noticed his jugular veins pulsating excessively while playing
outside. I called the nurse and she said it didn't sound like heart
failure,
since he had no other symptoms. Lips are not blue, not pale, not
breathing
hard, etc.
The last echo report:
1. Aortic root dimensions indicate significant enlargement with a
Z-value of
4.86.
Z score over +2.0 is statistically out of the normal range.. but the
cardiologist said this isn't significant since he was throwing a tantrum
while having the echocardiogram.
2. Aortic annulus dilated.
Don't know what this means. The ring of the aortic valve is larger than
expected? Was told not to worry about this.
3. Small VSD with high-velocity left-to-right shunting suggests normal
right
ventricular pressures.
I was told this is an improvement over that last reading.
That's all I know about his heart, other than the fact that he has some
vein
anomalies like a vascular ring. What would cause his jugular vein to
pulsate
excessively?
Might be because there is some tricuspid regurgitation (leaking from the
heart valve between the right atrium and right ventricle). This might
have been obscured by the doppler signals from the VSD.
Is that a bad thing in and of its own, or just something that happens as
sort of a side effect from his other heart anomalies, so to speak?
|
Tricuspid regurgitation commonly happens even in otherwise structurally
normal hearts.
| Quote: | Thanks again Dr. Chung. You answered questions about my son before he was
even born, 3 years ago and those answers helped us pick the right
cardiologist. Not sure if you remember.
|
I remember. It does not seem like 3 years. Life is too short to be
anything but a test.
You are welcome, Richard :-)
At His service,
Andrew
--
Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
**
Suggested Reading:
(1) http://makeashorterlink.com/?G1D5217EA
(2) http://makeashorterlink.com/?B2B851EFA
(3) http://makeashorterlink.com/?X1C62661A
(4) http://makeashorterlink.com/?U1E13130A
(5) http://makeashorterlink.com/?K6F72510A
(6) http://makeashorterlink.com/?I24E5151A
(7) http://makeashorterlink.com/?I22222129 |
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