DOI QR코드

DOI QR Code

Echocardiographic Diagnosis of Subaortic Stenosis with Severe Deformation of Mitral Valve Apparatus in a Dog

  • Chung, Doo-ri (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Yoon, Young-min (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Hwang, Tae-sung (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Choi, Moon-yeong (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Jung, Dong-in (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Yeon, Seong-chan (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Lee, Hee-chun (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University)
  • Received : 2016.08.17
  • Accepted : 2017.02.14
  • Published : 2017.02.28

Abstract

A 1-year-old castrated male Schnauzer dog was presented with heart murmur. Auscultation revealed systolic murmur located at the left heart base (grade 5/6). There were no remarkable findings on thoracic radiographs. Two-dimensional echocardiography revealed subaortic tunnel-like obstruction at the entrance to the left ventricular outflow tract. Anterior mitral valve leaflet appeared to be tethered to septum with minimal motion. Chordae tendineae was abnormally thickened. Color Doppler analysis revealed turbulent flow starting below the aortic valve. Mitral regurgitation was presented during systole. Spectral Doppler recordings revealed high velocity flow through the aorta and mitral regurgitation. Based on echocardiographic examination, the dog was diagnosed with subaortic stenosis concurrent with mitral dysplasia. The patient was medicated with ${\beta}-blocker$ and diuretics. It has been doing well without apparent clinical signs at 2 year after the diagnosis.

Keywords

References

  1. Bonagura JD, Fuentes VL. Echocardiography. In: Small animal diagnostic ultrasound, 3rd ed. Elsevier Health Sciences. 2014: 291-299.
  2. Boon JA. Congenital shunts and AV valve dysplasia. In: Veterinary Echocardiography, 2nd ed. West Sussex: Wiley-Blackwell. 2011: 468-471.
  3. Buchanan JW. Pathogenesis of single right coronary artery and pulmonic stenosis in English Bulldogs. J Vet Int Med 2001; 15: 101-104. https://doi.org/10.1111/j.1939-1676.2001.tb01239.x
  4. Buoscio DA, Sisson D, Zachary JF, Luethy M. Clinical and pathological characterization of an unusual form of subvalvular aortic stenosis in four Golden Retriever puppies. Journal (USA) 1994.
  5. Connolly DJ, Boswood A. Dynamic obstruction of the left ventricular outflow tract in four young dogs. J Small Ani Prac 2003; 44: 319-325. https://doi.org/10.1111/j.1748-5827.2003.tb00162.x
  6. Kienle RD. Aortic Stenosis. In: Small Animal cardiovascular Medicine, 1st ed. St. Louis: Mosby. 1998: 260-271.
  7. Kienle RD, Thomas WP, Pion PD. The natural clinical history of canine congenital subaortic stenosis. J Vet Int Med 1994; 8: 423-431. https://doi.org/10.1111/j.1939-1676.1994.tb03262.x
  8. Kittleson MD. Congenital abnormalities of the atrioventricular valves. In: Small Animal Cardiovascular Medicine, 1st ed. St.Louis: Mosby. 1988: 273-281.
  9. Kittleson MD, Eyster GE, Knowlen GG, Bari Olivier N, Anderson LK. Myocardial function in small dogs with chronic mitral regurgitation and severe congestive heart failure. J Am Vet Med Assoc 1984; 184: 455-9.
  10. Lehmkuhl LB, Ware WA, Bonagura JD. Mitral stenosis in 15 dogs. J Vet Int Med 1994; 8: 2-17 https://doi.org/10.1111/j.1939-1676.1994.tb03190.x
  11. Liu SK., Tilley LP. Malformation of the canine mitral valve complex. J Am Vet Med Assoc 1975; 167: 465-471.
  12. Oliveira P, Domenech O, Silva J, Vannini S, Bussadori R, Bussadori C. Retrospective review of congenital heart disease in 976 dogs. J Vet Int Med 2011; 25: 477-483. https://doi.org/10.1111/j.1939-1676.2011.0711.x
  13. Oyama MA, Sisson DD. Evaluation of canine congenital heart disease using an echocardiographic algorithm. J Am Anim Hosp Assoc 2001; 37: 519-535. https://doi.org/10.5326/15473317-37-6-519
  14. Oyama MA, Sisson DD, Thomas WP, Bonagura JD. Congenital heart disease. In: Textbook of veterinary internal medicine, 7th ed. St Louis: Saunders Elsevier. 2010: 1283-1288.
  15. Paige CF, Abbott JA, Pyle RL. Systolic anterior motion of the mitral valve associated with right ventricular systolic hypertension in 9 dogs. J Vet Cardiol 2007; 9: 9-14. https://doi.org/10.1016/j.jvc.2006.08.003
  16. Palacio MJ, Bayon A, Bernal LJ, Ceron JJ, Navarro JA. Clinical and pathological findings of severWe subvalvular aortic stenosis and mitral dysplasia in a rottweiler puppy. J Small Ani Prac 1998; 39: 481-485. https://doi.org/10.1111/j.1748-5827.1998.tb03683.x
  17. Patterson DF. Congenital defects of the cardiovascular system of dogs: studies in comparative cardiology. Adv Vet Sci Comp Med 1976: 1
  18. Pikula J, Pikulova J, Bandouchova H, Kohout P, Najman K, Tichy F, Treml F. Subaortic stenosis and mitral dysplasia in three Black Russian Terrier puppies. Vet Med-Czech 2005; 50: 321-326
  19. Pyle RL, Patterson DF, Chacko S. The genetics and pathology of discrete subaortic stenosis in the Newfoundland dog. Am Heart J 1976; 92: 324-334. https://doi.org/10.1016/S0002-8703(76)80113-5
  20. Sisson D. Fixed and dynamic subvalvular aortic stenosis in dogs. Kirk's Current Veterinary Therapy: Small Animal Practice. Philadelphia: Saunders. 1992: 760-766.
  21. Stepien RL, Bonagura JD. Aortic stenosis: clinical findings in six cats. J Small Ani Prac 1991; 32: 341-350. https://doi.org/10.1111/j.1748-5827.1991.tb00945.x
  22. Tidholm A. Retrospective study of congenital heart defects in 151 dogs. J Small Ani Prac 1997; 38: 94-98. https://doi.org/10.1111/j.1748-5827.1997.tb03326.x
  23. Wendy A. Ware. Congenital heart disease. In: Small animal internal medicine. Elsevier Health Sciences. 2009: 101-108
  24. White RN, Boswood A, Garden OA, Hammond RA. Surgical management of subvalvular aortic stenosis and mitral dysplasia in a golden retriever. J Small Ani Prac 1997; 38: 251-255 https://doi.org/10.1111/j.1748-5827.1997.tb03360.x