B Lines from PHT or PHT from B Lines
9yrFS dog: intst.lung -non cardio. Notch P flow profile, low RPA dist.idx (proper?). No sept flattening or PSM, PA:AO=WNL, LV/RV ratio normal, normall RA. No valve issues or cough. Not sure if P flow result of wet lung, poss cause or artifact(tachypnea?) Dog has PKD 5 cysts Lkid, what appears to be end stage R…
Two Gall Bladders?
8yr FS dog. Tachypnea/inst. lung pattern. BW=NAF- liver (GGT=44, TB=24). Put on PB and lasix. Echo aft.meds started=norm card struct and funct, underloaded LV, low norm FX% ,C. Index LVIDs=0.88. EPSS=norm. Flow vel’s diminished. Pul. flow prof. notched. The RPA dist. Idx= low ,TAPSE low normal(wt lung) PA:AO=N. Dog =no valve issues. 2nd deg. blk…
Heart Base Tumors
11.5yr Bos.Ter. Past Hx of smoke inhalation and aspiration pneumonia. Rads = cardiomegaly. Clinically doing well. Occasion gets excited; may cough or vomit and have a syncopal episode. Echo= sinus tach, mild TV reg. with normal PG, MV reg. with normal PG, LVd Cornell Idx. = 1.86, LVs Cornell idx.= 1.11, LAD:AO=2.4, MV inflow E…
When is a MVD stage B1 a Stage B2?
14Kg KCCS Dog; 3/6 murmur placed on Pimo after rads. Echo(3 wks later) revealed mild mod MV reg, TV reg and AO ins. PG – MV and TV=N. AO PG=N with plateau flow profile. Echo = stage B1 MVD, BP= N.Dog was 5 lbs ovweight. C index adj. to 11.7Kg= N. Improved on pimo (energy…
Reverse remodelling versus Mitral Stenosis
How would you diff b/w reverse remodelling and MV stenosis. Presented at recheck with mod severe pulmonary HT. Smll dog treated for chronic MVD stage C. US= LV under loading, FS > 50%, LAE remains significant. M e-vel is consistently 1.5m/s or higher but dec. time and press half time appear normal. E:A ratio around…
Chronic MVD with PHT
Chronic stage C MVD.TID Pimo and Lasix(high dose), ACEi and Spirono. Doing well. Recheck: Idexx GHP= CBC-NSF ,SDMA 15,BUN 14.1mmol/L, Creat 79umol/L. US: Cornell Indx LVd=1.46(prev2.1), LV septal flattening with diastolic dip,LAAO=2.47,Evel1.45m/s, TVregPG-68mmHg,HV distension-mod ascites.LV and LA underloading via diuretics and PHT (mild PHT past).PHT more pre vs post cap based on small LVsize? Consider…
VSD with RV hypertrophy?
1 yr BSH, 4/6 murmur. Scan- normal LV, some RVH- annular FW and apically creating a DCRV effect (likely the source of the murmur). CFD- alias. in the RV extending apically. Unable to get good view of potential VSD. RSA- CWD produced a 5.4m/s velocity- poor angle for DCRV but good for a VSD. Slightly…
Left atrial Presuure/Capacitance
12 yr FS dog. 3-4/6 murmur. MVD and TVD. LV looks reasonable. In “brick”, septum of LA bowed to right. LAD:AO increased and depending on where RSA LAAO measured, it is supportive of RPSLA/LAD. Unable to get decent image of atrial wall in RSA with “the twist”. Mitral inflow E vel.= WNL with sig. atrial…
Double Chamber Left Ventricle
5 yr MN cat; vomiting, resp. distress, lameness front limb. Rads: pul edema with atypical presentation and possible cardiomegaly. SNAP pro BNP abnormal. Echo: sever LV hypertrophy, severe LA enlargement, restrictive MV inflow pattern. Ridge of tissue extending from the LVPW to the septal base creating a double chamber effect. PG was 68mmHg (large CW…
Right Heart Asessment with Trivial regurgitation
Thoughts? 3yr,25lb male, Cushionoid WHWT chronic cough. Sept.CT; alv consolidation vent lobes, mild Br. thickening, diffuse inst. pattern rest of lung parenchyma, mass assoc. R adr. Recent rads; inst. Pattern(on AB’s). R Hrt large. Echo: Mobitz type2 block?, trivial MV and TV reg, LV mildly increased(CI=1.7),LA:AO=wnl, AO=1.5m/s,E:A=1.1,Evel=.93m/s. RV=NAF?,no sig. RV pressure(TVreg 3m/s (poor) RPADI normal,no…