A Case of Supravalvular Pulmonic Stenosis in a Maltese Dog

말티즈견에서 발생한 판막상형 폐동맥판 협착증 증례

  • Kim, Seong-Jun (College of Veterinary Medicine and Veterinary Science Research Institute, Konkuk University) ;
  • Kang, Min-Hee (College of Veterinary Medicine and Veterinary Science Research Institute, Konkuk University) ;
  • Kim, Su-Chan (Africa Animal Medical Center) ;
  • Choi, Young-Chul (Africa Animal Medical Center) ;
  • Kim, Seung-Gon (College of Veterinary Medicine and Veterinary Science Research Institute, Konkuk University) ;
  • Lee, Chang-Min (College of Veterinary Medicine and Veterinary Science Research Institute, Konkuk University) ;
  • Jung, Da-Min (College of Veterinary Medicine and Veterinary Science Research Institute, Konkuk University) ;
  • Park, Hee-Myung (College of Veterinary Medicine and Veterinary Science Research Institute, Konkuk University)
  • 김성준 (건국대학교 수의과대학, 수의과학연구소) ;
  • 강민희 (건국대학교 수의과대학, 수의과학연구소) ;
  • 김수찬 (아프리카 동물메디컬센터) ;
  • 최영철 (아프리카 동물메디컬센터) ;
  • 김승곤 (건국대학교 수의과대학, 수의과학연구소) ;
  • 이창민 (건국대학교 수의과대학, 수의과학연구소) ;
  • 정다민 (건국대학교 수의과대학, 수의과학연구소) ;
  • 박희명 (건국대학교 수의과대학, 수의과학연구소)
  • Accepted : 2014.06.09
  • Published : 2014.08.31

Abstract

A 8-month-old female Maltese dog was presented with a history of heart murmur. In physical examination, grade 4/6 systolic murmur heard at the left heart base. Electrocardiography showed sinus arrhythmia, right axis deviation, deep S wave and splintered QRS complex. Thoracic radiography revealed enlarged right side heart and bulging of the main pulmonary artery. Echocardiography showed mild hypertrophy of right ventricle, a supravalvular stenosis, marked post-stenotic dilation of the main pulmonary artery and a moderately increased pulmonary arterial velocity through the stenotic area (4.4 m/s, pressure gradient of 78.7 mmHg). The dog was diagnosed with supravalvular pulmonic stenosis based on the diagnostic imaging findings. Medical management using ${\beta}1$-blocker and ACE inhibitor was started in this dog and this is first case report described diagnostic characteristic features of supravalvular pulmonic stenosis in korea.

Keywords

References

  1. Alessia L, Sarah S, Carlo G. What is your diagnosis?. J Am Vet Med Assoc 2011; 239: 1415-1416. https://doi.org/10.2460/javma.239.11.1415
  2. Boon JA. Pulmonary stenosis. In: Veterinary echocardiography, 2nd ed. Oxford: Blackwell Publishing. 2011: 495-507.
  3. Ettinger SJ, Feldman EC. Pulmonic stenosis. In: Textbook of Veterinary Internal Medicine, 7th ed. Philadelphia: WB Saunders. 2010: 1275-1283.
  4. Griffiths LG, Bright JM, Chan KC. Transcatheter intravascular stent placement to relieve supravalvular pulmonic stenosis. J Vet Cardiol 2006; 8: 145-155. https://doi.org/10.1016/j.jvc.2006.01.004
  5. Hopper BJ, Richardson JL, Irwin PJ. Pulmonic stenosis in two cats. Aust Vet J 2004; 82: 143-148. https://doi.org/10.1111/j.1751-0813.2004.tb12638.x
  6. Kittleson MD, Kienle RD. Pulmonic stenosis. In: Small animal cardiovascular medicine. Philadelphia: Mosby. 1998: 248-259.
  7. Nyland TG, Mattoon JS. Pulmonic stenosis. In: Small Animal Diagnostic Ultrasound, 2nd ed. Philadelphia: WB Saunders. 2002: 382-384.
  8. Oyama MA, Sisson DD, Thomas WP, Bonagura JD. Congenital heart disease. In: Text book of veterinary internal medicine, 6th ed. Philadelphia: W.B. Saunders. 2005: 998-1006.
  9. Ristic JM, Marin CJ, Baines EA, Herrtage ME. Congenital Pulmonic Stenosis a Retrospective study of 24 cases seen between 1990-1999. J Vet Cardiol 2001; 3: 13-19. https://doi.org/10.1016/S1760-2734(06)70015-7
  10. Santilli RA, Critelli M, Toaldo MB. ECG of the Month. J Am Vet Med Assoc 2010; 237: 1142-1144. https://doi.org/10.2460/javma.237.10.1142