### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
my 19 month old son a full tet reapir when he was 4 months old. he has been doing ok so far.  but i do have some questions about his test results..  i would like to know exactely what this means -pulmonary outflow gradient and pulmonary regurgitation  clinically

### output:

Hi! I have gone through your question and I understand your concern. I would write you the information you need to know about. We say that a patient has Pulmonary Regurgitation (pulmonic regurgitation)when the blood goes from pulmonary arterial to right ventricle, normally should not be like that. The season for that is the incompetence of pulmonary valvular. Such patient when come to us, they may have this clinical presentation (:the right -sided heart failure)-Dyspnea on exertion is the most common complaint -light -handedness, peripheral edema, chest pain, palpitations, syncope, east navigability These are the early symptoms that sometimes the patient who experience these symptoms may think that these are cause of anxiety or poor physical fitness. The later signs are :-abdominal dissension -ascitesright user abdominal pain cause abdominal dissension. If a patient experience some of these symptoms need to go to the treating doctor to check their heart. The doctor will do some examination for further evaluation such: ECG , Echocardiography, Eco-Cooler . To see the condition of the right ventricle and regurgitation flow. The pulmonary outflow gradient is refer to the tract from the right ventricle to pulmonary artery where the blood goes to the lungs. Any problem of this tract makes that less blood goes to the lungs , less oxygen in the blood. The patient has dispute and fatigue in severe tract instruction and the symptoms of right -sites heart failure. Hope these are helpful to you. Thank you for using Chat Doctor for any additional question please write to me, I will be happy to answer Wish you good health.