Skip to content
Customize Consent Preferences

We use cookies to help you navigate efficiently and perform certain functions. You will find detailed information about all cookies under each consent category below.

The cookies that are categorized as "Necessary" are stored on your browser as they are essential for enabling the basic functionalities of the site. ... 

Always Active

Necessary cookies are required to enable the basic features of this site, such as providing secure log-in or adjusting your consent preferences. These cookies do not store any personally identifiable data.

No cookies to display.

Functional cookies help perform certain functionalities like sharing the content of the website on social media platforms, collecting feedback, and other third-party features.

No cookies to display.

Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc.

No cookies to display.

Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.

No cookies to display.

Advertisement cookies are used to provide visitors with customized advertisements based on the pages you visited previously and to analyze the effectiveness of the ad campaigns.

No cookies to display.

Pulmonic Stenosis Severe

History

Signalment:
6 month old Doli Apso dog.

History:
High intensity heart murmur was heard by the referring Vet during routine examination. The owners had not noticed any symptoms.

Clinical examination:
Grade 6/6 heart murmur with a maximum over the left heart base, radiating to the right thoracic wall.

Clinical Differential Diagnosis

Severe pulmonic stenosis (Pressure gradient 213,7 mm Hg) with some dynamic component.

Comments

Therapy: There was no atrial septal defect detectable, so we recommended balloon valvuloplasty even though the right atrium was already moderately enlarged

Patient Information

Species

Canine

Image 1-2 & Video 1: 2.D Echocardiography: Marked concentric hyperthrophy of the right ventricle, moderate enlargement of the right atrium. Pulmonic valve showing typical systolic doming. Valve leaflets do not open properly. Poststenotic dilatation.
Colour Flow Doppler: An aera of systolic high grade turbulence beginning within the right ventricular outflow tract slightly below the level of the pulmonic valve and reaching into the pulmonic artery. Moderate pulmonic insufficiency.
Spectral Doppler: High velocity profile (7,31 m/s) with a late systolic peak and a velocity curve concave to the left indicating some amount of dynamic stenosis (subvalvular) contributing to a high grade pulmonary valve stenosis.