한국동물위생학회지 (Korean Journal of Veterinary Service)

  • 제46권1호
  • /
  • Pages.75-79
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  • 2023
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  • 3022-7372(pISSN)
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  • 2287-7630(eISSN)
한국동물위생학회 (The Korean Society of Veterinary Service)
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The medical management of mitral stenosis in a Bull Terrier

  • Kun Ho Song (College of Veterinary Medicine, Chungnam National University) ;
  • Aleksandra Domanjko Petric (Veterinary Faculty, Clinic for Surgery and Small Animal Medicine, University of Ljubljana)
  • 투고 : 2023.01.21
  • 심사 : 2023.03.08
  • 발행 : 2023.03.30
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초록

An eight-year-old, 28-kg male bull terrier who showed signs of lethargy and cough was referred for further evaluation of congestive heart failure. On presentation, physical examination revealed a systolic murmur at the left apex of the heart. Moreover, chest radiograph evaluation confirmed the mild alveolar and interstitial patterns in the caudal lung lobes and a grossly enlarged left atrium and left ventricle. Electrocardiography showed atrial fibrillation with a wide QRS complex, and transthoracic echocardiography revealed marked enlargement of the left atrium with abnormal morphology of the mitral valve. The thickened, hammer-like appearance and abnormal diastolic motion of the mitral valve leaflets were characterized by decreased leaflet separation and doming of the valve. The diagnosis was mitral stenosis with congestive heart failure and atrial fibrillation. The owner declined interventional valvuloplasty. Medical treatment included furosemide, pimobendan and diltiazem. Regular health check-ups have shown that vitality and clinical signs have improved considerably, and the dog have remained stable for 6 months after the presentation.

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참고문헌

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