Case Of the Month
Exploring Gallbladder Disease and Mucocele
A 10 year-old M/C Sheltie is presented for vague signs including ADR, vomiting and anorexia. Physical Exam: On physical exam, the patient is quiet but alert and responsive. He is clearly icteric with some abdominal pain. Preop blood work: Blood work was performed to investigate liver function. After the blood sample was drawn, the patient was placed…
June 3, 2013
Atrial Septal Defect (ASD) and Pulmonic Stenosis (PS)
ASD (Atrial Septal Defect) and PS (Pulmonic Stenosis): CKCS, 1,5 years, weight loss, syncope, lethargy. Systolic heart murmur left and right heart base ~ 4/6 intensity inconstant (wich goes with inconstant v-max on spectral). Severe type B PS (severe hypoplasia of PV). Additionally small bidirectional Type 2 ASD. (seen on right parasternal 4 chamber long…
June 2, 2013
Subaortic Stenosis (SAS)
SAS (Subaortic Stenosis): Boxer, 2 years, breeding examination. 4/6 systolic murmur left heart base. No clinical signs. There is a high grade SAS present. Treated with Atenolol (1.5mg/kg bid). Turbulence can be seen on CDI, was then exactly located by tracking the LVOT, AV and Aorta with PW. Given that the PW velocities alias, CW…
Patent Ductus Arteriosus (PDA) Bidirectional
PDA (Patent Ductus Arteriosus) Bidirectional: This 700 g, 6-week old Papillon puppy had inconstant systolic murmur under left and right shoulder. The patient was much smaller than the littermates. On the clips/images of the bidirectional PDA one can easily see the concentric RV hypertrophy as a result of severe PHT (pulmonary hypertension).
Patent Ductus Arteriosus (PDA) L to R
PDA (Patent Ductus Arteriosus) L to R: Papillon, 6 weeks old, weighing 550 g, The patient was much smaller than the littermates. A machinery murmur was present (maximum underneath left shoulder). Note that this puppy with L-R shunt has a normal systolic gradient across the shunt but the diastolic gradient is quite low (sign of…
Pulmonary Hypertension
This is a 3-year old mix breed dog with moderate mitral insufficiency, nephritic syndrome and acute pulmonary hypertension potentially due to pulmonary thromboembolism.
Tetrology of Fallot
4-year-old DSH Feline presented for anorexia. The clinical exam revealed a 4/6 systolic heart murmur. An echocardiogram was performed discovering Tetrology of Fallot; pulmonic stenosis, ventricular septal defect, right ventricular hypertrophy, overriding aorta. Unfortunately further analysis revealed Feline Infectious Peritonitis and the patient was eventually euthanized.
June 1, 2013
Subaortic Stenosis Case
A 1-year-old French Bulldog was referred because of a heart murmur that was heard during routine examination. The owner had not noticed any problems. Clinical examination revealed a 4/6 systolic murmur with a maximum over the left heart base. Mucous membranes were pink, capillary refill time 1.5 sec. Pulse quality was a little bit weaker…