Coronary arterial compression testing by simultaneous balloon valvuloplasty and coronary angiography in an English bulldog with pulmonary valve stenosis.

Autor: Morgan KRS; University of Minnesota, Veterinary Medical Center, Cardiology Department, 1365 Gortner Avenue St. Paul, Minnesota 55108, USA. Electronic address: morg0332@umn.edu., Stauthammer C; University of Minnesota, Veterinary Medical Center, Cardiology Department, 1365 Gortner Avenue St. Paul, Minnesota 55108, USA., Stewart B; University of Minnesota, Veterinary Medical Center, Cardiology Department, 1365 Gortner Avenue St. Paul, Minnesota 55108, USA., Gordon-Evans W; University of Minnesota, Veterinary Medical Center, Surgery Department, 1365 Gortner Avenue St. Paul, Minnesota 55108, USA., Arai S; University of Minnesota, Veterinary Medical Center, Surgery Department, 1365 Gortner Avenue St. Paul, Minnesota 55108, USA., Baldo C; University of Minnesota, Veterinary Medical Center, Anesthesia Department, 1365 Gortner Avenue St. Paul, Minnesota 55108, USA., Gruenstein D; University of Chicago, Pediatric Cardiology, Chicago, IL, USA.
Jazyk: angličtina
Zdroj: Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology [J Vet Cardiol] 2021 Jun; Vol. 35, pp. 124-129. Date of Electronic Publication: 2021 Apr 02.
DOI: 10.1016/j.jvc.2021.03.009
Abstrakt: A 4-year-old male neutered English bulldog presented for heart murmur evaluation. Echocardiography identified severe pulmonic stenosis (an echocardiography-derived transpulmonary pressure gradient of 100 mmHg), and computed tomography confirmed the presence of an anomalous coronary artery with a prepulmonic course of the left coronary artery arising from the right coronary ostium. Before artificial pulmonic valve implantation, a coronary compression test was performed. A simultaneous aortic root angiogram and pulmonic balloon valvuloplasty revealed complete occlusion of the circumflex branch. Artificial valve implantation was aborted with concern for fatal coronary compression after implantation. Coronary compression testing is a critical component of the evaluation before catheter-based implantation of conduits across the pulmonic valve.
Competing Interests: Conflict of Interest Statement The authors do not have any conflicts of interest to disclose.
(Copyright © 2021 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE