– 10 year old Springer Spaniel presented for cough, panting, lethargy
– G 5/6 left systolic murmur, tachycardic, panting
– Massive cardiac silhouette and pulmonary pattern on rads
– Severe mitral regurg, left atrial and ventricular dilation with deduced systolic function. Also tricuspid regurg, no right atrial enlargement.
– Moderate volume pericardial effusion, no masses seen
– Tiny volume pleural and abdominal effusion (suspect secondary to PE) and hepatic venous distension
– Commet tails/fluid in lungss
– 10 year old Springer Spaniel presented for cough, panting, lethargy
– G 5/6 left systolic murmur, tachycardic, panting
– Massive cardiac silhouette and pulmonary pattern on rads
– Severe mitral regurg, left atrial and ventricular dilation with deduced systolic function. Also tricuspid regurg, no right atrial enlargement.
– Moderate volume pericardial effusion, no masses seen
– Tiny volume pleural and abdominal effusion (suspect secondary to PE) and hepatic venous distension
– Commet tails/fluid in lungss
– I am wondering what has caused the pericardial effusion in this case? Secondary to CHF but unusual in dogs? Left atrial tear?
Comments
severe Mr and LAE with pc
severe Mr and LAE with pc effusion is usually left atrial tear til proven otherwise in dogs. Occasionally long standing right heart failure can cause pc effusion and of course hsa or other neoplasia. But in light of the other valve disease and severe chronic lae, la tear is likely. See cases like it here in the archive.
https://sonopath.com/members/case-studies/search?text=atrial+tear&species=All
That being said with the pleural effusion as well in the still image concurrent neoplasia possible, tap the pleural effusion and cytospin for cells on a slide from the sediment and check the abdomen for primary neopalsia. Could have 2 things going on.
Note please keep to just a couple of videos, bullet points and images to keep with the efficient forum format. The teleconsultation service is available for more elaborate submissions with all the specialities available with sonopath mojo:)
http://spa.sonopath.com/
Thank you, will do.
Thank you, will do.