Document Detail

Closed transventricular dilation of discrete subvalvular aortic stenosis in dogs.
MedLine Citation:
PMID:  1455646     Owner:  NLM     Status:  MEDLINE    
Discrete subvalvular aortic stenosis with peak systolic pressure gradients of more than 60 mm Hg was treated by closed transventricular dilation in six young dogs. Peak systolic pressure gradients were measured by direct catheterization before surgery, immediately after dilation, and 3 months after surgery. Maximum instantaneous pressure gradients were measured by continuous wave Doppler echocardiography before surgery and 6 weeks to 9 months after surgery. All dogs survived the procedure, and two dogs were clinically normal after 9 and 14 months. Two dogs died at week 6 and month 7. One dog was receiving medication for pulmonary edema 15 months after surgery. One dog underwent open resection of the subvalvular ring at month 3, and was clinically normal 6 months after the second procedure. Complications included intraoperative ventricular fibrillation in one dog, and mild postoperative aortic insufficiency in one dog. Closed transventricular dilation resulted in an immediate 83% decrease in the peak systolic pressure gradient from a preoperative mean of 97 +/- 22 mm Hg to a mean of 14 +/- 15 mm Hg. However, systolic pressure gradients measured by direct catheterization at month 3 (77 +/- 26 mm Hg), and by Doppler echocardiography at week 6 to month 9 (85 +/- 32 mm Hg) were not significantly different from preoperative values, which suggested recurrence of the aortic stenosis. Closed transventricular dilation should not be considered a definitive treatment for discrete subvalvular aortic stenosis in dogs, but may be useful in young dogs with critical aortic stenosis as a bridge to more definitive surgery.
K Linn; E C Orton
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Veterinary surgery : VS     Volume:  21     ISSN:  0161-3499     ISO Abbreviation:  Vet Surg     Publication Date:    1992 Nov-Dec
Date Detail:
Created Date:  1993-01-06     Completed Date:  1993-01-06     Revised Date:  2011-04-25    
Medline Journal Info:
Nlm Unique ID:  8113214     Medline TA:  Vet Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  441-5     Citation Subset:  IM    
Department of Clinical Sciences, Colorado State University, Fort Collins 80523.
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MeSH Terms
Aortic Stenosis, Subvalvular / complications,  surgery,  veterinary*
Aortic Valve Insufficiency / complications,  surgery,  veterinary*
Blood Pressure
Dilatation / veterinary
Dog Diseases / surgery*
Echocardiography, Doppler / veterinary
Intraoperative Complications / veterinary
Mitral Valve Insufficiency / complications,  veterinary
Postoperative Complications / veterinary
Pulmonary Edema / complications,  veterinary
Ventricular Fibrillation / veterinary

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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