Skip to content
Customize Consent Preferences

We use cookies to help you navigate efficiently and perform certain functions. You will find detailed information about all cookies under each consent category below.

The cookies that are categorized as "Necessary" are stored on your browser as they are essential for enabling the basic functionalities of the site. ... 

Always Active

Necessary cookies are required to enable the basic features of this site, such as providing secure log-in or adjusting your consent preferences. These cookies do not store any personally identifiable data.

No cookies to display.

Functional cookies help perform certain functionalities like sharing the content of the website on social media platforms, collecting feedback, and other third-party features.

No cookies to display.

Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc.

No cookies to display.

Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.

No cookies to display.

Advertisement cookies are used to provide visitors with customized advertisements based on the pages you visited previously and to analyze the effectiveness of the ad campaigns.

No cookies to display.

Pulmonis Stenosis Mild

History

Signalment:
Border Terrier, 6 years old, male

History:
Heart murmur was heard by the referring Vet during a routine examination. The owner never registered any symptoms

Clinical examination:
Systolic heart murmur over the left heart base 2/6,; pulse, capillary refill time, respiration normal. sinus rhythm on ECG without any axis deviation.

Clinical Differential Diagnosis

Mild valvular pulmonic stenosis

Comments

Therapy: none

Patient Information

Age

Species

6 Years

Canine

The echocardiographic examination showed a marked enlarged left atrium, moderate degenerative lesions of the AV-Valves, a high grade Mitral- and Tricuspidal insufficiency and systolic dysfunction. The dog suffered from pulmonary hypertension (at least 100 mm Hg) too.
Colour flow Doppler: Systolic turbulence starting at the pulmonic valve and extending into the pulmonary artery. Mild pulmonic insufficiency. Mild tricuspid regurgitation
Images 4 & 5: Spectral Doppler: Assymmetric flow profile (acceleration time shorter) and high peak velocity on CW-Doppler across the left ventricular outflow tract and pulmonic valve (3,27 m/s, pressure gradient 43 mm Hg). A considerable pulmonic insufficiency is also detected. PW-Doppler reveals peak velocity and turbulence at the level of and slightly behind the pulmonic valve.

Images 4 & 5: Spectral Doppler: Assymmetric flow profile (acceleration time shorter) and high peak velocity on CW-Doppler across the left ventricular outflow tract and pulmonic valve (3,27 m/s, pressure gradient 43 mm Hg). A considerable pulmonic insufficiency is also detected. PW-Doppler reveals peak velocity and turbulence at the level of and slightly behind the pulmonic valve.