A 10-year-old FS Boston terrier was presented for evaluation of progressive coughing that had worsened over the last month. On physical examination grade IV/VI murmur and pulmonary crackles were present. Therapy with furosemide, Clavamox, Vetmedin, Enalapril, and aminophylline resulted in some improvement.
A 10-year-old FS Boston terrier was presented for evaluation of progressive coughing that had worsened over the last month. On physical examination grade IV/VI murmur and pulmonary crackles were present. Therapy with furosemide, Clavamox, Vetmedin, Enalapril, and aminophylline resulted in some improvement.
Case Study
15_00061 Annie N MI, TI, LAE
Sonographic Differential Diagnosis
Mitral and tricuspid insufficiency. Vegetative endocardiosis. Prolapsing mitral and tricuspid valves. Severe mitral insufficiency. Mild tricuspid insufficiency. Persistent left atrial enlargement. This is consistent with stage B1 valvular disease.
Image Interpretation
The echocardiogram presented a prominent right heart with mild right ventricular hypertrophy and mildly enlarged right atrium. Moderate tricuspid insufficiency was noted in this patient not to the point of pulmonary hypertension; however, this may be an emerging issue. Prolapse of the tricuspid valve was present. The pulmonary artery was uniformly prominent with maintained outflow velocity. The mitral valve was insufficient and considered severe with prolapse of the mitral valve. There was left atrial enlargement. Mitral insufficiency velocity 5.0 m/sec. Tricuspid insufficiency velocity 2.43 m/sec.
Outcome
The patient is currently being maintained and doing well on cardiac medication.
Clinical Differential Diagnosis
Cardiac – endocardiosis, vegetative endocarditis, cardiomyopathy, neoplasia, heart worm. Pulmonary – pneumonia, edema.
Sampling
None
Video
Patient Information
Gender :
Female, Spayed
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Clinical Signs
- Coughing
History
- Aminophylline therapy
- Amoxicillin (Clavamox) therapy
- Eosinophilia
- Lasix therapy
- Pimobendan therapy
Exam Finding
- Heart Murmur
- Pulmonary crackles
Images
Clinical Signs
- Coughing