To my son of 8 years. DS: min a stenosis of an aorta on a background bicuspid aortal to...

[Lily Viktorovna]

To my son of 8 years. DS: min a stenosis of an aorta on a background of the bicuspid aortal valve, two additional chordas in a right ventricle, on last electrocardiogram - disturbance of conduction of the right leg or pinch of a ventriculonector. At the child at insignificant fiz. To a load (even short hotby) a strong dyspnea or short wind, sometimes pains in the field of heart. Whether there are indications in an operative measure? Or preventive agents (action)? Many thanks.

[Tutelman K.M.]

The cardiosurgeon can accept the decision on necessity of an operative measure only. One of the basic indications to operation is the gradient of pressure in a lead-out or an excretory tract of the left ventricle, reflecting a degree of a stenosis (is "threshold" value or meaning;importance of a gradient - 50 60 mm hg) If a stenosis minimal it is necessary to understand the reasons of a painful syndrome and a dyspnea or short wind. If pains have an ischemic genesis it is necessary to think of augmentation of a degree of a stenosis in a load.
That about preventive agents and actions they certainly exist. In particular it just concerns to restriction of a regimen of exercise stresses. Reception of medical products improving a delivery of a cardiac musle is possible or probable (group kardiotroficheskih preparations), reception beta-the blockers reducing frequency of intimate or cardiac reductions and potrebnos of a myocardium in oxygen is possible or probable (are appointed or nominated strictly! The cardiologist, under the careful control!).