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Peer-reviewed veterinary case report

Pulmonary valve movement problems in dogs with patent ductus

By Ishikawa, Ryokichi et al.·Published in Veterinary research communications·2023·Ishikawa Animal Hospital, Japan·View original on PubMed

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Original publication title: Abnormal movement of the pulmonary valve in dogs diagnosed with patent ductus arteriosus.

Species:
dog

Plain-English summary

A group of dogs with a heart condition called patent ductus arteriosus (PDA) was studied to see how their pulmonary valve functioned before and after surgery. These dogs showed abnormal movement of the pulmonary valve due to the shunted blood flow caused by PDA. After the surgical correction, one dog had its valve movement return to normal immediately following the procedure. This suggests that surgery can effectively restore proper valve function in dogs with PDA, which is important for their overall heart health.

People also search for: dog heart murmur treatment · patent ductus arteriosus surgery in dogs · pulmonary valve problems in dogs

Abstract

In the typical left-to-right patent ductus arteriosus (PDA), the shunt flows from the ductus arteriosus towards the pulmonary valve. Although hemodynamic changes have been carefully studied in dogs with PDA, there is very little information on the outcomes of the pulmonary valve after surgical correction of PDA. This study aimed to visualize the pulmonary valve by transthoracic echocardiography in dogs with PDA before and after surgical ligation. Prior to surgery, the movement of the anterior semilunar cusp of the pulmonary valve was obstructed by the shunted blood flow during systole in all nine dogs with PDA in this study. M-mode echocardiography revealed a continuous trajectory of the cusp, because the cusp was pushed towards the right ventricle during the whole cardiac cycle by the shunted flow. Epicardial echocardiography performed in one dog during surgical ligation of the ductus arteriosus revealed that the movement of the anterior semilunar cusp normalized immediately after ligation. B- and M-mode echocardiography may be used to support the diagnosis of PDA through observation of the pulmonary valve when color Doppler echography is not available. The findings in this study may be of importance in distinguishing PDA from PDA-mimicking diseases worth considering before the treatment process (e.g. aorticopulmonary fistulas or aberrant arteriovenous shunts).

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/36633757/