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Possible shunt?

  • Bulldog, 4 years, male, non sterilized
  • hemograma ok, liver enzimes too, normal size kidneys
  • the only complain is that it is not eating well, but is active
  • hepatic veins a little congest, vena cava caudal enlarged (1,40 cm), Aorta 1 cm, portal vein 0,81 cm
  • at first I thought it was right side of the heart, but I scanned twice and found nothing
  • to be shunt, the vena cava being dilated in this way, the portal vein would not have to be smaller? 

 

Regards,

Adams.

  • Bulldog, 4 years, male, non sterilized
  • hemograma ok, liver enzimes too, normal size kidneys
  • the only complain is that it is not eating well, but is active
  • hepatic veins a little congest, vena cava caudal enlarged (1,40 cm), Aorta 1 cm, portal vein 0,81 cm
  • at first I thought it was right side of the heart, but I scanned twice and found nothing
  • to be shunt, the vena cava being dilated in this way, the portal vein would not have to be smaller? 

 

Regards,

Adams.

gadams

4 responses to “Possible shunt?”

  3. The PV is very solid in size

    The PV is very solid in size in your still and good flow from the pdv on the right so not likely a shunt. If sedated for the exam especially with dexdomitor the cvc dilates. Otherwise right heart disease possible especially with the breed and the right atrium doesnt have to be big for this. Needs solid TR velocities to check for pht. Chest rads to assess caudal mediastinal disease that can cause congestion of the cvc as well if PHT isnt present.

  4. Thanks KV and EL!

    In several

    Thanks KV and EL!

    In several cuts I did not succeed in detecting tricuspid regurgitation. 
    Is it possible to have pulmonary hypertension without regurgitation? 
    For the RX the pulmonary artery appears dilated in the VD but not in the laterolateral. 
    This case is being challenging!

     

     Regards,

    Adams.

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