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Balloon valvuloplasty for severe subaortic stenosis in a Pomeranian dog

  • Han, Sang-Woo (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Lee, Chang-Min (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Park, Hee-Myung (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University)
  • Received : 2016.09.28
  • Accepted : 2016.11.11
  • Published : 2016.12.31

Abstract

A nine-month-old Pomeranian dog with exercise intolerance and syncope was presented. The dog was depressed with grade 4 systolic murmur on cardiac auscultation. Based on cardiac examination, the dog was diagnosed with severe subaortic stenosis with involvement of the anterior mitral valve. ${\beta}-blocker$ administration was initiated and clinical signs were improved, but not fully resolved. Balloon valvuloplasty was performed and the dog survived for nearly one year without clinical sign and the cardiac troponin I level was normalized. This case describes successful management of severe subaortic stenosis in a small breed dog through balloon valvuloplasty.

Keywords

References

  1. Bussadori C, Amberger C, Le Bobinnec G, Lombard CW. Guidelines for the echocardiographic studies of suspected subaortic and pulmonic stenosis. J Vet Cardiol 2000, 2, 15-22. https://doi.org/10.1016/S1760-2734(06)70007-8
  2. DeLellis LA, Thomas WP, Pion PD. Balloon dilation of congenital subaortic stenosis in the dog. J Vet Intern Med 1993, 7, 153-162. https://doi.org/10.1111/j.1939-1676.1993.tb03180.x
  3. Eason BD, Fine DM, Leeder D, Stauthammer C, Lamb K, Tobias AH. Influence of beta blockers on survival in dogs with severe subaortic stenosis. J Vet Intern Med 2014, 28, 857-862. https://doi.org/10.1111/jvim.12339
  4. Kienle RD, Thomas WP, Pion PD. The natural clinical history of canine congenital subaortic stenosis. J Vet Intern Med 1994, 8, 423-431. https://doi.org/10.1111/j.1939-1676.1994.tb03262.x
  5. Meurs KM, Lehmkuhl LB, Bonagura JD. Survival times in dogs with severe subvalvular aortic stenosis treated with balloon valvuloplasty or atenolol. J Am Vet Med Assoc 2005, 227, 420-424. https://doi.org/10.2460/javma.2005.227.420
  6. Orton EC, Herndon GD, Boon JA, Gaynor JS, Hackett TB, Monnet E. Influence of open surgical correction on intermediate-term outcome in dogs with subvalvular aortic stenosis: 44 cases (1991-1998). J Am Vet Med Assoc 2000, 216, 364-367. https://doi.org/10.2460/javma.2000.216.364
  7. Oyama MA, Sisson DD. Cardiac troponin-I concentration in dogs with cardiac disease. J Vet Intern Med 2004, 18, 831-839. https://doi.org/10.1111/j.1939-1676.2004.tb02629.x
  8. Reist-Marti SB, Dolf G, Leeb T, Kottmann S, Kietzmann S, Butenhoff K, Rieder S. Genetic evidence of subaortic stenosis in the Newfoundland dog. Vet Rec 2012, 170, 597. https://doi.org/10.1136/vr.100019
  9. Tidholm, A. Retrospective study of congenital heart defects in 151 dogs. J Small Anim Pract 1997, 38, 94-98. https://doi.org/10.1111/j.1748-5827.1997.tb03326.x
  10. Weisse C, Berent A (eds). Veterinary Image-Guided Interventions. pp. 588-594, Wiley Blackwell, Chichester, 2015.