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Pulmonic stenosis EBD

  •  4 month old male English Bull Dog with loud bilateral basilar murmur, clinically normal to owner
  • Severe pulmonic stenosis diagnosed…just a few questions please
  • Is this a hypoplastic annulus and partially fused valve? 
  • Is there an anomolous coronary artery, I am not sure if I can see end on to right of PV on videos? Or would you need angiogram to check for this?
  • What is the prognosis with and without intervention please?

  •  4 month old male English Bull Dog with loud bilateral basilar murmur, clinically normal to owner
  • Severe pulmonic stenosis diagnosed…just a few questions please
  • Is this a hypoplastic annulus and partially fused valve? 
  • Is there an anomolous coronary artery, I am not sure if I can see end on to right of PV on videos? Or would you need angiogram to check for this?
  • What is the prognosis with and without intervention please?

veteurope1

2 responses to “Pulmonic stenosis EBD”

  1. Hi!
    Yes, I agree, fused

    Hi!

    Yes, I agree, fused leaflet, hypoplastic annulus.

    RE coronary anomaly: This is difficult to rule out on echo alone. I usually do a cardio-CT-scan before valvuloplasty. 

    If coronary anomaly present: dilate with smaller balloon and see what happens

    If no coronary anomaly: try to balloon. If pressure gradient does not drom sufficiently, open surgery is recommended (approx 10.000 Euro)

    Re Prognosis: cool study by chiara locatelli (see attachment)

    Very nice clips!

    Peter

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