Peer-reviewed veterinary case report
Dog developed metabolic alkalosis after mitral valve surgery
By Matsuura, Katsuhiro et al.·Published in Journal of the American Veterinary Medical Association·2021·View original on PubMed →
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Original publication title: Metabolic alkalosis following mitral valvuloplasty in a dog with preoperative acute kidney injury.
- Species:
- dog
Plain-English summary
An 11-year-old male Shih Tzu underwent mitral valve surgery due to acute kidney injury and congestive heart failure. After the surgery, he developed metabolic alkalosis, which is an imbalance in the body's acid-base levels. The vet treated him with a medication called acetazolamide, which helped improve his condition by increasing the excretion of bicarbonate. Fortunately, his kidney function returned to normal within two days, and the metabolic alkalosis resolved after four days without needing further treatment.
People also search for: Shih Tzu mitral valve surgery recovery · dog metabolic alkalosis treatment · kidney injury in dogs after surgery
Abstract
CASE DESCRIPTION: An 11-year-old sexually intact male Shih Tzu diagnosed with acute kidney injury and left-sided congestive heart failure that had nonelective mitral valve surgery. CLINICAL FINDINGS: Metabolic alkalosis developed postoperatively, and plasma bicarbonate concentration peaked 2 days after surgery (40.2 mmol/L; pH, 7.550). TREATMENT AND OUTCOME: Acetazolamide administration increased the urinary excretion of bicarbonate and contributed to the improvement of the dog's acid-base status and oxygenation capacity. Metabolic alkalosis persisted for 4 days after surgery, and no treatment was required after resolution. Plasma urea nitrogen and creatinine concentrations normalized 2 days after surgery. CLINICAL RELEVANCE: Severe metabolic alkalosis can occur as a complication following mitral valve surgery. Acetazolamide may be suitable for the treatment of severe metabolic alkalosis.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/34727063/