Dear All,
Benny is a 10 year old beagle patient with right sided heart failure.
He already has mild ascites and dilatated v. cava.
He also has mitral prolapse, mitral endocardiosis, dilatated left atrium and left sided volume overload. No pulmonal oedema yet.
MR yet: 5,5 m/s-which fills the complete left atrium, Aorta ok, TR yet: 3,5 m/s, and severe pulmonal insuff is 2,5 m/s and the pulmonal flow is 2 m/s- the whole pulmonic low profile is abnormal.
I have not seen a pulmonic profile like this according to mitral endocardiosis.
Dear All,
Benny is a 10 year old beagle patient with right sided heart failure.
He already has mild ascites and dilatated v. cava.
He also has mitral prolapse, mitral endocardiosis, dilatated left atrium and left sided volume overload. No pulmonal oedema yet.
MR yet: 5,5 m/s-which fills the complete left atrium, Aorta ok, TR yet: 3,5 m/s, and severe pulmonal insuff is 2,5 m/s and the pulmonal flow is 2 m/s- the whole pulmonic low profile is abnormal.
I have not seen a pulmonic profile like this according to mitral endocardiosis.
The dog is on tripple therapy now- but i am concerned a bit to give the pimobendan.
What is Your opinion?
Thank Youu!
Rita
Comments
Hmmm would need more left
Hmmm would need more left sided views here as thats pretty wicked PI as well and failing rt heart wiht dilated HV.
Masybe Peter would have more input if sildenafil is in order. Often as the right heart fails the TR velocities can drop or be underestimated. The hv dilation is key here.
Hi
As Eric mentioned, more
Hi
As Eric mentioned, more views would be helpful here. Although the PI velocities are borderline high, the PA flow profile does not fit with PHT (too much flow here and PI velocities too low).
Possible reasons for right sided failure here are:
So, more views would be great.
I would not worry about pimo here – I usually use it as well in PS cases when the right heart fails (off lable, though).
Peter
Thank You!
I will call back
Thank You!
I will call back the dog after 3 weeks of treatment for controll-i will make more videos!