Aortic insufficiency
-12 year old male neutered Yorkshire terrier -cough, likely due to tracheal collapse -loud murmur present -asymptomatic for cardiac disease -systemic BP unknown (I have recommended they obtain it) -LA:Ao of 1.57; %FS 56% -moderate MR and trivial PI noted, normal size MPA -moderate AI also noted – why? -AI appears to be originate between…
Help with echo
-7 year old Australian Shepherd mix -presented for worsening weakness and exercise intolerance, pulses weak -Possible history of grain – free diet but not consistently -I was expecting to find DCM but my measurements give a %FS of 34%. -LA:Ao of 1.8 -Normal PA size, no evidence of pulmonary hypertension -Moderate mitral and mild tricuspid…
Neck ultrasound
Older adult dog with vague history of weight loss. The vet requesting the u/s thought he saw a possible mass around the cranial trachea on rads. I wasn’t convinced but figured I’d check the neck, cranial mediastinum and abdomen. There is a small nodule to the left lateral side of the mid-trachea. Can you help…
Feline echo
-Adult cat with murmur, unknown how long present. -Asymptomatic I struggled with these images and am trying to figure out and learn what I can from them. The 2D measurements were basicaly normal. -The CW views actually only show 2 positions, just with the baseline moved to show the entire portion of it. -In the Color…
Heartworm disease
-Older Chihuahua -Positive heartworm Ag test -Loud systolic murmur, likely right-sided -Echo shows right heart failure and pulmonary hypertension with TR and PI and mild peritoneal effusion.
Congenital heart defect
6 month old Newfoundland -loud murmur -recent onset of cough -mitral regurgitation with increased LA:Ao -aortic insufficiency and stenosis -turbulence in the pulmonary artery, enlarged pulmonary artery.
What does this? Diagnostic scheme
A few years ago I posted a question about a heart and someone sent me a link to a schematic for heart disease diagnosis (Randy Herman maybe?). As someone whose echo skills are only intermediate, I found it very helpful but have misplaced it. Basically, it had a diagnosis (e.g. pulmonic stenosis) and a list of…
Cause of ascites
-14 year old dog with ascites, fluid is red-tinged, non-viscous fluid. -severe tricuspid regurgitation and moderate MR on echo along with right heart enlargement -no hepatic congestion -possible gall bladder mucocele with surruounding inflammation -small, presumably incidental, bladder mass -no other significant findings in abdomen other than large volume ascites
Feline Heartworms?
Adult cat in heartworm endemic area. Vague history of weight loss and possible pneumonia (per referring vet, radiographs not available for review). Rest of the echocardiogram appears normal (I’ve included some example images). Do these look like heartworms?