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Isolated congenital Right Ventricular Hypertrophy.

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Applied Human Genetic Engineering - Vol.II

UNFOLDING THE MYSTERIES OF GENETIC SCIENCES IN INCURABLE DISEASES LIKE CORONARY ARTERY DISEASES, CANCER, & RAREST OF THE RARE DISEASES LIKE MOYAMOYA, SLE, TAKAYASU ETC.

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Isolated congenital Right Ventricular Hypertrophy is the rarest of the rare condition

Treated successfully  with Baruah genetic engineering  

 Introduction-

           Left ventricular (LV) hypertrophy is known to be not uncommon in children due to congenital aortic valve stenosis, either in bicuspid or tricuspid aortic valve. In case of bicuspid aortic valve, outflow orifice area of aortic valve becomes inadequate leading to LV hypertrophy and in case of tricuspid aortic valve, the valve leaflets failed to separate from each other resulting smaller outflow orifice area, which gives rise to left ventricular hypertrophy. In both cases, although the pathology is somewhat different, but results are similar. Isolated right ventricular (RV) hypertrophy is rarest of the rare condition in children In this condition, structurally pulmonary valve could be either tricuspid or bicuspid, leading to smaller outflow orifice area resulting inadequate pulmonary perfusion. RV wall thickness is increased , so is the interventricular septum leads to remarkable reduction of RV cavity resulting inadequate ejection or stroke volume. Usually, this condition is corrected by surgical means without zero mortality and morbidity. We have treated this congenital anomaly successfully in a female patient of 16 years of age with genetic engineering using Baruah biological molecules.

 A brief - Patient’s history-

          In November 2006, a female patient of 16 years of age was admitted in our clinic with complains of fever, cough, tiredness and breathlessness on minimum exertion. Since last 7 years, she was treated elsewhere withot getting any relief. But her chest x-ray does not reveal any severe pulmonary infection and tuberculosis. (Pulmonary tuberculosis is not uncommon in place where patient lives). Cardiac enlargement due to right ventricular hypertrophy was well observeddgdg in X-ray. Echocardiogram had suggested that patient has tricuspid pulmonary valve with reduced orifice area having right ventricular wall thickness of 17.34mm, so is the interventricular septum. (Fig.1). RV perfusion pressure was measured to be 74mm Hg, which is found to just above the double of normal.         Axomi Das (A 16 years old girl was suffering from right ventricular hypertrophy. Hypertrophy was reduced with Baruah biological molecules.)                                                                                                                                        ( Fig.1 )

  Genetic engineering using Baruah biological molecules-

             Patient was treated with Baruah biological molecules intravenously followed by oral therapy for a period of one year. In initial period, patients all symptoms had disappeared and she continued to be kept physically very well.

  Post-treatment follow up after 1year-

          One year later repeat colour Doppler echocardiogram has suggested her RV wall thickness is reduced by 3.0mm resulting increase in the size of right ventricular cavity with improved stroke volume.

Discussion-

          Right ventricular hypertrophy is not a common disorder, which is usually treated surgically by repairing pulmonary valve and occasionally, it requires replacement with artificial heart valve. However, morbidity and mortality are not uncommon., Use of genetic engineering to treat this condition is found to be unique and first in cardio-vascular sciences.

During the process of genetic engineering Baruah Biological molecules down regulate the overexpressed m-RNA expressed diseased genes resulting hypertrophied muscles, which looses their elasticity.and this process continues till it changes the anatomical configuration of right ventricle allowing right ventricle to perform physiologically. RV perfusion pressure has come down to 41mm Hg., which is near normal.

 Conclusion-

           In the history of cardio-vascular sciences, treatment of hypertrophied right ventricle has been treated with genetic engineering for the first time. It is usually corrected surgically or some of medical treatment with equivocal success rate. Hundred percent success rate is achieved by using Baruah genetic engineering which has proven that conventional surgical or medical therapy are not only un-necessary, but destructive.

 

 

 

 

 

 

 

 

 

 

 

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