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Severe SAS

  • 14 week old Golden Retriever pup with tachypnoea and exercise intolerance and G 4/6 left sided murmur
  • I think there is severe subaortic stenosis but also mitral dysplasia. Is the mitral dysplasia causing the SAS?

    • 14 week old Golden Retriever pup with tachypnoea and exercise intolerance and G 4/6 left sided murmur
    • I think there is severe subaortic stenosis but also mitral dysplasia. Is the mitral dysplasia causing the SAS?
    • There appeared to be a high septal VSD but this was not apparent on colour doppler
    • There is also an enlarged left atrium and clinical signs of congestion
    • I realise the prognosis is grave but how would you manage this case in the short term – start on diuretics and titrate up atenolol when respiration has normalised?

veteurope1

2 responses to “Severe SAS”

  1. Im seeing MR for sure and

    Im seeing MR for sure and maybe VSD. Would need more views I think this is more fit for teklemedicine with our cardiologists and full study. Looks pretty complex.

    http://spa.sonopath.com/

     

     

  2. Ok thank you. It was the

    Ok thank you. It was the typical scenario of a nurses uninsured new puppy, an emotional case to say the least.

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