Case Study

15-00008 Angel L Mitral insufficiency—NEEDS VIDEO—

A 10 year old SF, Labrador retriever was presented for evaluation and having a history of hypertension. A grade III/IV systolic heart murmur was present on physical examination as the only abnormality. Urinalysis showed isosthenuria, 1+ protein, and 1+ hematuria. On blood chemistry elevated ALP activity and BUN 32, hyperamylasemia, and hyperlipasemia was present. Blood pressure was 228. The patient was treated with furosemide, Enalapril, Amlodopine, Spirolactone, aspirin, and fed K/D diet.

A 10 year old SF, Labrador retriever was presented for evaluation and having a history of hypertension. A grade III/IV systolic heart murmur was present on physical examination as the only abnormality. Urinalysis showed isosthenuria, 1+ protein, and 1+ hematuria. On blood chemistry elevated ALP activity and BUN 32, hyperamylasemia, and hyperlipasemia was present. Blood pressure was 228. The patient was treated with furosemide, Enalapril, Amlodopine, Spirolactone, aspirin, and fed K/D diet.

Sonographic Differential Diagnosis

Mitral insufficiency. Left atrial enlargement. Arrhythmogenic activity.

Image Interpretation

The echocardiogram for this patient presented an enlarged left atrium. The cranial and caudal mitral valve leaflets demonstrated mildly vegetative contour. Yet extension and closure were adequate at this time. Color flow and pulse doppler assessment did not reveal any hemodynamically significant alteration of laminar flow or insufficiency and measured 5.4 m/sec.

DX

Mitral insufficiency. Left atrial enlargement. Arrhythmogenic activity.

Outcome

None

Comments

recheck this: MR was >5m/s ?not significant tt

Clinical Differential Diagnosis

Hypertension – primary or secondary to cardiac disease, renal disease, hormonal, polycythemia., cardiac – cardiomyopathy, valvular disease, renal disease – primary, secondary to hypertension