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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. 

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. 

-normal tricuspid valve and right side of heart

I really want this to be a PDA but I’m not able to convince myself that I see continuous forward flow.  What am I missing?

 

Thanks!

 

 

smbrowndvm

4 responses to “Congenital heart defect”

  2. Great, that does make the

    Great, that does make the most sense and what I figured, but I thought I had to see non-pulsatile flow through the PA.

    Can you explain why my doppler over the pulmonary valve doesn’t show continuous positive flow? 

    The ones I’ve seen before have a much less pulsatile-appearing flow.  Does it vary by patient or is my positioning off?  I tried multiple views to get that continuous forward flow but maybe I’m looking at it wrong.

    Thanks.

  3. I think its just about being

    I think its just about being in the right sweet spot to get a clean holosystolic jet and thats beyond the PV prior to the pulmonary bifurcation for a pda. Peter is on vacation but im sure he can elaborate more eloquently than I when he gets back.

    Check out Peter’s page in the about/specialists section as he has beautiful examples of every congenital defect and how to evidence them.

    https://sonopath.com/about/specialists/peter-modler-dvm-dipl-tzt

    and also search PDA in the archive or any congenital for that matter and this should help

    https://sonopath.com/members/case-studies/search?text=pda&species=All

     

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