-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.
-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.
There is something associated with the tricuspid valve. I don’t see the parallel walls typical of heartworms so I’m not sure what I’m seeing flapping back and forth into the right atrium/ventricle. Blood clot and worm(s)? Part of the valve leaflet? I did not see any heartworms in the pulmonary artery as I typically do when I have seen caval syndrome animals. These are atypical views but I was trying to highlight the pathology.
Thanks!
Comments
I was thinking ruptured
I was thinking ruptured chordae of the TV but its too long for that and the rv view looks like HW to me.
Sildenafil for sure and tx rt chf but the images are a bit dark to tell any more.
You can zoom in both by lowering your depth and using the zoom funtion to look at the direct architecture of the LV and LA linear echos. This may help and you should be able to do this post processing on the image set you have so youb don’t have to get the patient back in.
Maybe add some stills of that to this thread or if video then start a new thread as you cant add videos to an existing thread in our system unfortunately.