– new patient presented for spay, normal growth and stature, clinically normal
-murmur was noted on 8 week exam from breeder
– new patient presented for spay, normal growth and stature, clinically normal
-murmur was noted on 8 week exam from breeder
– new patient presented for spay, normal growth and stature, clinically normal
-murmur was noted on 8 week exam from breeder
– new patient presented for spay, normal growth and stature, clinically normal
-murmur was noted on 8 week exam from breeder
Comments
A cardiologist reviewed these
A cardiologist reviewed these and additional images and diagnosed a small membranous VSD. I’m going to search through the images when I get a chance and see if I can post one showing it.
A cardiologist reviewed these
A cardiologist reviewed these and additional images and diagnosed a small membranous VSD. I’m going to search through the images when I get a chance and see if I can post one showing it.
If you look at the first
If you look at the first video the VS is a bit ragged (arrow attached) and when I see that deviation from curvilinear contour I interrogate with Doppler like the otehr attached image even though my gain is a bit high. BART (blue away red toward) the transducer and mosaic is turbulence. There is a little right ventrivular hypertrophy in your dog but the vsd is likely pretty small. Prognosis dshould be decent but would need fiull Doppler study to assess.
If you look at the first
If you look at the first video the VS is a bit ragged (arrow attached) and when I see that deviation from curvilinear contour I interrogate with Doppler like the otehr attached image even though my gain is a bit high. BART (blue away red toward) the transducer and mosaic is turbulence. There is a little right ventrivular hypertrophy in your dog but the vsd is likely pretty small. Prognosis dshould be decent but would need fiull Doppler study to assess.
I totally, agree. 2D imaging
I totally, agree. 2D imaging is not 100 specific in diagnosing a small VSD, so color is essential here. When ruling out a VSD you always need color across the membranous septum in 5-chamber and short axis views as well as color across the muscular septum on short axis views. Be aware that membranous VSDs do not always look the same and can vary slightly in their location.
Based on these images, there’s no sign of hemodynamic relevance so I would again agree with Eric in terms of prognosis.
Peter
I totally, agree. 2D imaging
I totally, agree. 2D imaging is not 100 specific in diagnosing a small VSD, so color is essential here. When ruling out a VSD you always need color across the membranous septum in 5-chamber and short axis views as well as color across the muscular septum on short axis views. Be aware that membranous VSDs do not always look the same and can vary slightly in their location.
Based on these images, there’s no sign of hemodynamic relevance so I would again agree with Eric in terms of prognosis.
Peter
I see the VSD in the color
I see the VSD in the color doppler image. The IVS looks flattened to me in both systole and diastole. Is this more consistent with a pressure overload? Is the tricuspid valve look normal to you- or could be also have some sort of tricuspid dysplasia?
I see the VSD in the color
I see the VSD in the color doppler image. The IVS looks flattened to me in both systole and diastole. Is this more consistent with a pressure overload? Is the tricuspid valve look normal to you- or could be also have some sort of tricuspid dysplasia?
The TV looks pretty normal to
The TV looks pretty normal to me in the heart based view linear and good apposition and the color flow is a little off line but clean. Peter?
The TV looks pretty normal to
The TV looks pretty normal to me in the heart based view linear and good apposition and the color flow is a little off line but clean. Peter?