We use cookies to help you navigate efficiently and perform certain functions. You will find detailed information about all cookies under each consent category below.
The cookies that are categorized as "Necessary" are stored on your browser as they are essential for enabling the basic functionalities of the site. ...
Necessary cookies are required to enable the basic features of this site, such as providing secure log-in or adjusting your consent preferences. These cookies do not store any personally identifiable data.
Functional cookies help perform certain functionalities like sharing the content of the website on social media platforms, collecting feedback, and other third-party features.
Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc.
Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.
Advertisement cookies are used to provide visitors with customized advertisements based on the pages you visited previously and to analyze the effectiveness of the ad campaigns.
A 6-month-old M Shih Tzu was presented for initial puppy visit. On physical examination, a grade III/VI heart murmur was present on auscultation.
A 6-month-old M Shih Tzu was presented for initial puppy visit. On physical examination, a grade III/VI heart murmur was present on auscultation.
Pulmonic stenosis with infundibular hypertrophy
Thickened dynamic right ventricular outflow obstruction prior to the pulmonic valve was noted. The pulmonic valve was thickened with mild insufficiency and severe excessive outflow velocity. Post valvular pulmonary artery dilation was noted at the bifurcation (Video 1). There was also severe, right ventricular hypertrophy with dynamic obstruction (Video 2). The right ventricle demonstrated concentric hypertrophy that impinged upon the tricuspid valve. Mild tricuspid insufficiency was noted, with mild right atrial prominence. Pulmonic insufficiency velocity was 2.4 m/sec.The left ventricle was largely normal. However, some septal bowing into the left ventricle was noted.
The patient was referred to an interventional cardiology facility for possible balloon valvuloplasty or other interventional procedure. The long term prognosis for this patient was regarded as poor.
Congenital heart disease – valve stenosis (mitral, aortic, pulmonic), ASD, VSD
None taken.
