Large partial AV canal defect in a 6mo cat
This is a very interesting one! 6mo female DSH with heart murmur (mainly systolic) more audible on the left heart base. – I think it is a partial AV canal defect with Eisenmenger syndrome (big MPA, LPA and RPA) with secondary pulmonary hypertension and RV eccentric hypertrophy + narrow LVOT due to malformation –…
Aortic stenosis in a 22 yo cat + restrictive CM?!
22yo MI cat with peripheral edema (four leg swelling) What do you think of this heart? Has mild mitral regurgitation, severe aortic regurgitation (7m/s) and mild to moderate stenosis (3,6m/s), no LV hypertrophy, huge LA, restrictive LV filling pattern, and mild decreased systolic function. Also mild to moderate azotemia (creatinine 2,4) – mild dehydration…
DCM + MMVD + PHT (!) – How would you treat it?
Hi, 13yo MI Dalmatian with previously diagnosed hypothyroidism presented with ascitis. Echo shows: Dilated heart (suspected DCM, or at least DCM phenotype heart) + myxomatous mitral valve disease with moderate regurgitation + severe tricuspid regurgitation suggestive of severe pulmonary hypertensionv + multiple multifocal VPCs. Very low FS% (18%, with very hypokinetic LVPW). No know respiratory…
Pulmonic stenosis + Tricuspid Dysplasia?
Here it goes: 10 month old mix breed dog, 3kg with loud systolic murmur It seems like a severe type A pulmonic valvular stenosis (PV Max=5,6m/s, 125mmHg) and insufficiency (PR Max=2,7 m/s), with MPA post-stenotic dilation, hypertrophy of the RV, paradoxical systolic movement of the septum and increased pressure of the RV.
Big Left Atrial Appendage
Hi, 13yo female mix small breed with persistent cough that worsens with activity Echo showed big LA with huge LA Appendage, mixomatous mitral valve degeneration assotiated with severe regurgitation. Thoracix X ray reveals huge LA with mainstem bronchus compression, with no obvious pulmonary edema and/or pulmonary parenquimal disease (maybe bronchomalacia?). This dog never has had…
Shiny kidneys!
– 10yo female mix breed dog – Had history of uroliths (mix calcium oxalate and struvite), removed by cystotomy 6 months ago. Has been on urinary diet since then. – Upon recheck scan (I didn’t do the previous one) there is a relapse of the uroliths and the renal medulla has a hyperechogenic milliary pattern…
Lymphoma with mineralized peritoneal mass?
Hi guys, – 8yo male DSH – Hx of chronic vomiting, loss of appetite – On U/S I see reactive jejunal/colic lymph nodes (with reactive adjacent fat) + subtle loss of wall layering of a nearby jejunal loop + mineralized little peritoneal mass adjacente to a apparently normal loop What do you think this mass…
Pulmonary hypertension
Greetings! Here it goes: 7yo mix breed dog (17lbs) presented with ascitis and pulmonary perihilar edema. Already had history of exercise induced syncopes 1 year ago. What I see: Left side – chronic mixomatous mitral valve disease, mild dilation of the LA, mitral regurgitation Right side – severe tricuspid regurgitation, valve prolapse + nodular changes,…
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