-1 year old female GSD with SAS.
– How would you define the subaortic ] lesion?
– Do you think the LV wall is more hyperechoic than normal?
– When I look up the June Boon breed specific measurements, the left ventricular free wall is hypertrophied for female measurements but not for combined male/female, would you consider this as hypertrophied?
– I have Cornell measurement with presets in my machine, how do I utilise this please?
-1 year old female GSD with SAS.
– How would you define the subaortic ] lesion?
– Do you think the LV wall is more hyperechoic than normal?
– When I look up the June Boon breed specific measurements, the left ventricular free wall is hypertrophied for female measurements but not for combined male/female, would you consider this as hypertrophied?
– I have Cornell measurement with presets in my machine, how do I utilise this please?
Comments
Hi!
Thanks for
Hi!
Thanks for posting!!
The left ventricular wall is – in my opinion – mildly hypertrophied. I don’t have the Cornell formular integrated in my alpha’s software, so I can only guess, that you might have to insert the bodyweight and then perform LV M-Mode measurements to get the Cornell-Indexes.
There’s only one color Doppler clip showing the subaortic region – I think there is a subaortic fibrous ridge visible. The turbulence clearly starts below the aortic valve. The stenosis is moderate based on the gradient. If the dog was excited during the exam, the gradient can be a bit over-estimated.
To describe or find out about the echogenicity of the lv wall I usually prefer sax views at the level of the papillary muscules because the echogenicity of the papillary muscle usually increases first follwed be the subendocardial muscle layers (see image)
Peter
That is great thank you.
That is great thank you.