12 yr FS dog. 3-4/6 murmur. MVD and TVD. LV looks reasonable. In “brick”, septum of LA bowed to right. LAD:AO increased and depending on where RSA LAAO measured, it is supportive of RPSLA/LAD. Unable to get decent image of atrial wall in RSA with “the twist”. Mitral inflow E vel.= WNL with sig. atrial kick. E:A reversed( mild diast dysfunction). How would you interpret the left atrium from views given and estimate the LA wall in a RSA with pulmonary vein where the twist doesn’t work( lipomas on both chest walls)? My est. divides NCC and LCC AO cusps.
thanks
Comments
Sorry Capacitance in the title is supposed to be Compliance lol..
Hi!
To me the left ventricle looks normal. I agree on the difficulty getting the LAD here. Sometimes tilting the brick helps in order to get the atrial septum appropriately . The entering PV can alter the appearance of that septum significantly. Short axis views are very variable in terms of determining LA/AO ratios. Also here, twisting the view a bit sometimes brings the PV out of the view Since this is obviously a small dog, LAE in the absence of LV volume overload is not very likely. In my opinion your LA SAX measurement is a bit too large. If that was a teleread, I would likely likely try and re-measure it on the dicom viewer, but it will likely turn out as “borderline” or mild LAE.
Best wishes
Peter
Thank you for all your help!!
I went through a few more Cine’s to try and get a better impression relating to the LV and the mitral inflow.
You are very welcome, Dan!
Peter