What does this chest X-ray test result for recurrent fever post VSD closure surgery indicate?
Patient: Hi ,m poonam .my baby is nw 8 months old.3 mnths back her vsd closure surgery was done by after that also she was getting fever and cough.after 1..5mnths of that surgery doctor came to know there was a vegetation just above the septal valve.they had given antibiotics for that bt baby didn t respond to that so they decided to do surgery again for removal of that ve citation they removed that also .operation was successful. Bt still baby was getting fever and cough continuously .again they started antibiotics therapy after 15 days her condition was improved somehow.all vitals were normal.but one day morning suddenly she became unconscious.doctors kept her in ventilator and doctor r telling her lungs function is not so good .bilateral paracardiac haziiness is present. Her pulmonary pressure is almost 70 mmhg so they can t say she will be fine .so sir I want to know what is ur opinion in this situation Doctor: Hello, Sudden rise in pulmonary artery pressure with the bilateral lung haziness, sudden unconsciousness are more suggestive of pulmonary embolism (PE). It is quite possible that her vegetations might have traveled in pulmonary vessels and cause a pulmonary embolism. So get done CT pulmonary angiography for PE. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Kaushal Bhavsar