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Dynamic left ventricular outflow tract obstruction secondary to hypovolemia in a German Shepard dog with splenic hemangiosarcoma
Authors:Takuma AOKI  Hiroshi SUNAHARA  Keisuke SUGIMOTO  Tetsuro ITO  Eiichi KANAI  Sakurako NEO  Yoko FUJII  Yoshito WAKAO
Abstract:Dynamic left ventricular outflow tract obstruction (DLVOTO) is a common condition in cats and humans. In this case report, a dog is described with DLVOTO secondary to severe intra-abdominal hemorrhage caused by a hemangiosarcoma. The dog was a 9-year-old, 35.7-kg, spayed female German Shepard dog that presented with a history of tachypnea and collapse. A Levine II/VI systolic murmur was present at the heart base. Abdominal ultrasonography revealed a splenic mass and a large amount of ascites. Echocardiography showed a reduced left ventricular diameter and an increased aortic velocity caused by systolic anterior motion (SAM) of the mitral valve apparatus. The heart murmur and the SAM were resolved after treatment including a splenectomy and a blood transfusion.
Keywords:canine  dynamic left ventricular outflow tract obstruction  hemangiosarcoma  hypovolemia  systolic anterior motion
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