Peer-reviewed veterinary case report
Dog with complex patent ductus arteriosus closed using 3D heart
By Doocy, K R et al.·Published in Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology·2017·From the Department of Small Animal Clinical Sciences, United States·View original on PubMed →
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Original publication title: Real-time 3D transesophageal echocardiography-guided closure of a complicated patent ductus arteriosus in a dog.
- Species:
- dog
Plain-English summary
A dog with a complicated heart condition called patent ductus arteriosus (PDA) was brought in after previous attempts to close the duct had failed. The dog underwent surgery where advanced imaging technology was used to guide the closure of the PDA. This real-time 3D imaging helped the veterinary team assess the duct's shape and ensure the device was placed correctly. Thanks to this innovative approach, the procedure was successful, and the dog was able to recover well after the surgery.
People also search for: dog patent ductus arteriosus treatment · heart surgery for dogs · advanced imaging in veterinary cardiology
Abstract
Advanced imaging modalities are becoming more widely available in veterinary cardiology, including the use of transesophageal echocardiography (TEE) during occlusion of patent ductus arteriosus (PDA) in dogs. The dog in this report had a complex history of attempted ligation and a large PDA that initially precluded device placement thereby limiting the options for PDA closure. Following a second thoracotomy and partial ligation, the morphology of the PDA was altered and device occlusion was an option. Angiographic assessment of the PDA was limited by the presence of hemoclips, and the direction of ductal flow related to the change in anatomy following ligature placement. Intra-operative TEE, in particular real-time three-dimensional imaging, was pivotal for assessing the PDA morphology, monitoring during the procedure, selecting the device size, and confirming device placement. The TEE images increased operator confidence that the size and location of the device were appropriate before release despite the unusual position. This report highlights the benefit of intra-operative TEE, in particular real-time three-dimensional imaging, for successful PDA occlusion in a complicated case.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/28571753/