Double-outlet right ventricle in an Angus calf

Double-outlet right ventricle (DORV) is a conotruncal malformation where both great arteries arise from the right ventricle. Anatomic variations of DORV are classified according to the position of the great arteries in relation to each other, the relationship between a ventricular septal defect (VSD) and the great arteries, and the presence and degree of pulmonary stenosis. The prevalence of congenital cardiac defects in bovine fetuses has been reported at approximately 0.7 %, with VSDs representing the most common congenital cardiac defect. DORV has been described in veterinary literature in few cats and dogs, a foal, and 2 calves with variable clinical and pathologic documentation. In this report, we describe the angiographic, echocardiographic, and postmortem examination findings in a calf with a DORV with concurrent pulmonary stenosis, subaortic VSD, patent ductus arteriosus (PDA), aberrant left subclavian artery, and a tracheal malformation.     

Echocardiographic diagnosis of congenital membranous ventricular septal aneurysm in the dog and cat

Membranous ventricular septal aneurysm was diagnosed by echocardiography in 17 dogs and three cats. The aneurysm appeared as a thin membrane protruding into the right ventricle from the margins of a congenital ventricular septal defect (VSD). The aneurysm was intact in nine dogs and two cats and perforated by a small VSD in eight dogs and one cat. Other congenital heart defects were present in seven dogs. In all animals, the aneurysm was an incidental finding observed during echocardiographic examination, and it did not appear to directly cause any cardiac dysfunction.     

Open surgical repair of tetralogy of Fallot in dogs.

Tetralogy of Fallot is a congenital heart defect that causes cyanosis, severe progressive weakness and activity intolerance, polycythemia, and shortened life span in dogs. Open surgical repair of tetralogy of Fallot consisting of closure of the ventricular septal defect and reconstruction of the right ventricular outflow tract via a right ventriculotomy during cardiopulmonary bypass is feasible in severely affected dogs. Successful surgical repair can completely resolve clinical signs associated with the defect.     

Ventricular Septal Defect Repair

Twelve dogs and one cat were operated to close a ventricular septal defect. The method of patient selection, associated lesions, techniques used to correct the defect and significance to the total population of small animals with congenital lesions is discussed. Ten of 13 animals survived surgery. When indicated, this procedure can be safely performed to correct ventricular septal defect.     

Retrospective study of congenital heart defects in 151 dogs

The case records of 151 dogs diagnosed with congenital heart disease were revlewed retrospectlvely. The most common defect Was aortic stenosls, accounting for 35 per cent of all cases, followed by pulmonic stenosls (20 per cent), ventricular septal defect (12 per cent), patent ductus arterlosus (11 per cent), mltral valve dysplasla (8 per cent), tricuspld valve dysplasla (7 per cent), endocardlal fibroelastosls (1.9 per cent) and tetralogy of Fallot (04 per cent). Fifty-one breeds were represented, with golden retrievers, German shepherd dogs and boxers predominating. No overall sex predilection was obvious. Seventy-five per cent of the dogs were asymptomatic presentation. The defects most often associated with presenting symptoms, such as dyspnoea, syncope, ascltes, fallure to grow and depression, were mltral valve dysplasla, atrial septal defect, tricuspld valve dysplasla and endocardial flbroelastosls. The latter presented with the most severe signs of heart fallure. In some cases of aortic stenosls and pulmonlc stenosls, where the defect could not be accurately visuallsed with two-dimensional echocardlography, Doppler echocardlographic examination was needed for definltive dlagnosls.     

Epidemiological and morphological studies of double-chambered right ventricle in dogs

The double-chambered right ventricle (DCRV) is a rare congenital cardiac disease in dogs, and its detailed epidemiological and morphological features are not clearly understood. By investigating the profile, clinical signs, and characteristics of examination findings of eleven dogs with DCRV by means of a retrospective study, we attempted to clarify the epidemiology and morphology of the condition. The study group consisted of nine males and two females. Breeds included Pug (n=3), Miniature Dachshund (n=1), French Bull-dog (n=1), Shiba (n=1), and Retrievers (n=5). The attachment site of the anomalous muscular bundle was continuous with the cardiac apex in nine dogs, and it was attached to the right ventricle free wall in the other two dogs. In dogs with DCRV, at least one of the following conditions was present concurrently: congenital or acquired tricuspid valve regurgitation (TR), ventricular septal defect, and atrial septal defect. Also, the pressure difference between the two chambers increased over time, and progressive right-sided heart failure was observed. In summary, DCRV occurs in small breeds of dog as well as in large breeds of dog and it may be more prevalent in males. The existence of two types of DCRV in dogs was established. Dog with DCRVs will have a high incidence of concurrent cardiac abnormalities. Concurrent TR may be either congenital or acquired. DCRV is a congenital disorder, but the clinical condition progresses as the dog develops.     

Clinical, histopathological and genetic data of ichthyosis in the golden retriever: a prospective study

O bjectives : We described epidemiological, clinical, histopathological and ultrastructural features of ichthyosis in the golden retriever breed in a prospective study. We also investigated the mode of transmission of this disease.
M aterials and M ethods : We examined 150 golden retrievers, 73 of which were affected by ichthyosis (35 males and 38 females). We carried out detailed clinical and histopathological examinations for 40 affected dogs. Transmission electron microscopy was performed for two of them. We used pedigree analysis with the Cyrillic software to determine the mode of transmission.
R esults : Dermatological signs included a mild to moderate or severe generalised scaling with initially small to large whitish scales and progressively blackish scales. The ventral glabrous skin was hyperpigmented and rough, similar to sandpaper. Histopathological features were characterised by moderate to severe laminated or compact orthokeratotic epidermal hyperkeratosis without significant involvement of the stratum granulosum. Ultrastructural findings revealed laminated or compact keratin layers and numerous persistent corneodesmosomes within the stratum corneum. Analysis of the pedigree suggested an autosomal recessive inheritance.
C onclusion : The histopathological and ultrastructural characteristics strongly suggest that golden retriever ichthyosis is a retention ichthyosis, caused by absence of corneodesmosomal degradation, transmitted through an autosomal recessive mode.     

Aortic endocarditis associated with a perforated septal membranous aneurysm in a boxer dog

Perimembranous ventricular septal defect is a common congenital heart disease in the dog. It can partially or completely close with age by development of a membranous ventricular septal aneurysm. Aortic endocarditis is a reported complication of ventricular septal defect and membranous ventricular septal aneurysm in human beings. This report describes a case of aortic endocarditis associated with a membranous ventricular septal aneurysm perforated by a small ventricular septal defect in a boxer dog.     

Hereditary congenital heart defects in dogs

Congenital heart defects is probably the most common class of malformations found in dogs, occurring with a frequency approaching 1 per cent in animals presented to veterinary clinics. The frequency is significantly higher among purebred dogs than in dogs of mixed breeding and specific anatomic malformations occur with highest frequency in certain breeds. Genetic studies of patent ductus arteriosus, pulmonic stenosis, subaortic stenosis, ventricular septal defect, tetralogy of Fallot and persistent aortic arch have confirmed that these are specific heritable defects, the genes for which are concentrated in a number of different breeds. Each of these defects is inherited in a complex manner consistent with a polygenic basis. This paper will describe evidence supporting the view that the common forms of congenital heart disease in the dog are polygenic threshold traits. The general criteria for recognition of polygenic traits and methods for their control will be discussed.     

Pulmonic stenosis and right-to-left atrial shunt in three dogs

Using cardiac catheterization, pulmonic stenosis and right-to-left atrial shunt were diagnosed in 3 young dogs that were evaluated because of weakness, cyanosis, and polycythemia. Injection of contrast material into the caudal vena cava or crossing the atrial septal defect with the catheter tip from the right atrium into the left atrium confirmed the diagnosis. Tetralogy of Fallot, with right-to-left shunt through a ventricular septal defect, is a more common congenital malformation associated with the aforementioned clinical signs. Differentiation between the 2 defects is important, because surgical decompression of the right ventricle will lead to reduction of right atrial pressure and diminishment of the shunt.     

Plexogenic pulmonary arteriopathy in a cat with non‐restrictive ventricular septal defect and chronic pulmonary hypertension

A 10‐week‐old, male, domestic long‐hair cat was medically managed for congenital heart disease over a period of 8 years. Regular clinical examinations, including sequential echocardiography, documented a non‐restrictive paramembranous ventricular septal defect, secundum‐type atrial septal defect and aortic dextroposition. Pulmonary arterial hypertension was diagnosed by the presence of high‐velocity tricuspid regurgitation, bidirectional low velocity flow across the ventricular septal defect, pulmonary arterial dilation and severe right ventricular hypertrophy without evidence of pulmonary outflow tract obstruction. The cat remained clinically stable until it died suddenly at 8 years of age. Histopathology of the lungs found evidence of plexogenic pulmonary arteriopathy. Despite severe pulmonary vascular lesions, other post‐mortem evidence of right heart failure was lacking and death was attributed to a fatal cardiac arrhythmia. In this case report of a cat with chronic pulmonary hypertension over 8 years, plexogenic lesions were found on histopathology. The microscopic findings resemble those previously reported in dogs.     

A practitioner's approach to canine cardiology

This paper is intended to be a guide for the practitioner to the diagnosis, prognosis and treatment of heart disease in the dog. Diagnosis and treatment of heart disease is based on a thorough clinical examination specifically auscultation of the chest and examination of the pulse augmented by radiography and electrocardiography.Cardiology is an exciting subject and recent advances in therapy have improved not only the life expectancy of dogs with heart disease but also the quality of life. The most important factor is to recognize that the problem is cardiac in origin. The elderly animal with a cough and a heart murmur must be examined and investigated thoroughly before assuming that the murmur and cough are connected. Overall incidence of heart disease has been estimated at 11 · 3% with the congenital type accounting for 0 · 5% (Detweiler & Patterson, 1965).Congenital heart disease should be detected early in life, and certainly no later than at presentation of the puppy for primary vaccination, but will only be diagnosed if the puppy is thoroughly auscultated. The more common congenital cardiac defects, in approximate order of incidence, are patent ductus arteriosus, pulmonic stenosis, aortic stenosis, persistent right aortic arch, ventricular septal defect, tetralogy of Fallot and atrial septal defect (Patterson, 1965). Early diagnosis is important as, particularly with patent ductus, surgery performed at an early stage can be curative. Pulmonic stenosis can also be treated surgically and successful treatment of tetralogy of Fallot using cardiopulmonary bypass has been reported (Herrtage, Hall & English, 1983). Septal defects are also amenable to treatment by using cardiopulmonary bypass.Persistent right aortic arch will not cause a heart problem but vomiting will occur in the young dog. Chronic valvular fibrosis with mitral, followed by tricuspid, insufficiencies is the most usual acquired heart disease. It has been estimated that in dogs over eight years old 70% are likely to suffer from valvular heart disease but not necessarily showing clinical signs.     

Double-chambered right ventricle in a dog

A 32-month-old spayed female Pug was referred for an MRI study due to convulsions. The MRI examination indicated encephalitis. However, echocardiography and pathological examinations revealed that this case had a ventricular septal defect and double chambered right ventricle which is a rare congenital heart disease in the dog. An anomalous muscle bundle crossed the right ventricular outflow tract, dividing the right ventricle into 2 chambers.     

Percutaneous occlusion of a muscular ventricular septal defect with an Amplatzer® Muscular VSD occluder

Ventricular septal defects are a relatively common congenital cardiac disease that, when severe, can be associated with substantial morbidity and mortality. Several minimally invasive methods of repair have been described in the human literature. This report describes the first case of percutaneous closure of a naturally occurring muscular septal defect using an Amplatzer^® occluder in a dog affected by concurrent pulmonic stenosis. Based on this experience catheter-based occlusion of muscular ventricular septal defects is a feasible option in dogs. Further studies are necessary to identify the attributes and limitations of the technique.     

Retrospective review of congenital heart disease in 976 dogs

Background: Knowledge of epidemiology is important for recognition of cardiovascular malformations. Objective: Review the incidence of congenital heart defects in dogs in Italy and assess breed and sex predispositions. Animals: Nine hundred and seventy‐six dogs diagnosed with congenital heart disease (CHD) of 4,480 dogs presented to Clinica Veterinaria Gran Sasso for cardiovascular examination from 1997 to 2010. Methods: A retrospective analysis of medical records regarding signalment, history, clinical examination, radiography, electrocardiography, echocardiography, angiography, and postmortem examination was performed. Breed and sex predisposition were assessed with the odds ratio test. Results: CHD was observed in 21.7% of cases. A total of 1,132 defects were observed with single defects in 832 cases (85%), 2 concurrent defects in 132 cases (14%), and 3 concurrent defects in 12 cases (1%). The most common defects were pulmonic stenosis (PS; 32.1%), subaortic stenosis (SAS; 21.3%), and patent ductus arteriosus (20.9%), followed by ventricular septal defect (VSD; 7.5%), valvular aortic stenosis (AS; 5.7%), and tricuspid dysplasia (3.1%). SAS, PS, and VSD frequently were associated with other defects. Several breed and sex predispositions were identified. Conclusions and Clinical Relevance: The results of this study are in accordance with previous studies, with slight differences. The breed and sex predilections identified may be of value for the diagnosis and screening of CHD in dogs. Additionally, the relatively high percentage of concurrent heart defects emphasizes the importance of accurate and complete examinations for identification. Because these data are from a cardiology referral center, a bias may exist.     

Transcatheter closure of aneurysmal perimembranous ventricular septal defect with the canine duct occluder in two dogs

Congenital membranous ventricular septal aneurysm has been reported in dogs and can be associated with a perimembranous ventricular septal defect (VSD). The windsock-like ventricular septal aneurysm is formed by tissue of the membranous ventricular septum and portions of the septal leaflet of the tricuspid valve. We report two dogs that underwent transcatheter closure of perimembranous VSD associated with membranous ventricular septal aneurysm using a commercial device marketed for transcatheter closure of patent ductus arteriosus, the canine duct occluder. Partial closure was achieved in the first dog with reduction in left heart dimensions documented on echocardiography both at one day and nine months after procedure. In the second dog, three-dimensional transesophageal echocardiography, cardiac computed tomography, and a three-dimensionally printed whole heart model were used to evaluate feasibility for transcatheter device closure. Complete closure of the VSD was subsequently achieved. Both cases had good short- to medium-term outcomes, no perioperative complications were observed, and both dogs are apparently healthy and receiving no cardiac medications at 34 months and 17 months after procedure. Transcatheter attenuation of perimembranous VSD with membranous ventricular septal aneurysm is clinically feasible using the canine duct occluder, and multimodal cardiac imaging allows accurate assessment and planning prior to transcatheter intervention for structural heart disease in dogs.     

Unusual vascular ring anomaly associated with a persistent right aortic arch and an aberrant left subclavian artery in German pinschers

The objective of this study was to describe a specific form of persistent right aortic arch (PRAA) in three German pinscher dogs and to analyse the mode of inheritance in the breed. This type of PRAA is characterised by a left retro-oesophageal subclavian artery in combination with a ligamentum arteriosum originating at the aberrant left subclavian artery (PRAA-SA-LA). This rare combination of anomalies has only been reported in two isolated cases in other dog breeds and the occurrence of any form of PRAA was not previously known to occur in the German pinscher. In the present study, 18 cases of this congenital anomaly were ascertained and their high degree of relatedness and inbreeding could be shown through pedigree analysis. Three of the affected dogs underwent further clinical investigations, and post-mortem examination (two cases) and findings at surgery (one case) verified the diagnosis of PRAA-SA-LA. A monogenic autosomal recessive mode of inheritance was not likely.     

Pulmonary artery banding for ventricular septal defect in dogs and cats

Five dogs and 1 cat had pulmonary artery banding for ventricular septal defect and congestive heart failure. An umbilical tape band constricted the pulmonary artery to one-third its original diameter, increased the right ventricular pressure, and decreased the left ot right shunt. Five animals had remission of clinical signs; 1 dog died of right ventricular failure due to a band that had been applied too tightly. The results indicated pulmonary artery banding is helpful in reduction of clinical signs, due to increased flow to the lungs from ventricular septal defect.     

Progressive Juvenile Glomerulonephropathy in 16 Related French Mastiff (Bordeaux) Dogs

Background: Familial juvenile glomerulonephropathy (JGN) is reported in several breeds of dogs. The mode of inheritance and spectrum of pathological lesions vary among breeds. A progressive JGN was detected in a pedigree of French Mastiff (FM) dogs. Objectives: To describe clinical, laboratory, and histopathologic findings in related FM dogs suffering from progressive JGN and to determine the mode of inheritance of this condition. Animals: Sixteen affected and 35 healthy related FM dogs Methods: FM dogs <24 months of age and diagnosed with chronic kidney disease with evidence of proteinuria entered the study. Clinical, laboratory, histopathologic findings, and pedigree data were recorded. Results: Clinical signs were typical of progressive glomerulopathy with resultant renal failure. Increased blood urea nitrogen, creatinine and total cholesterol concentrations, and proteinuria were found in all patients. Affected dogs had abnormal kidney structure on abdominal ultrasound examination. Histopathologic examination revealed extensive cystic glomerular atrophy, glomerular hypercellularity, and capillary wall thickening without immune complex deposition when tested with immunohistochemistry or immunofluorescence. Electron microscopy did not disclose specific primary glomerular lesions. Mean age at death was 20 months and mean length of survival after diagnosis was 6 months. Both males and females from healthy parents were affected. An autosomal recessive mode of transmission is suspected, but a more complex mode of inheritance cannot be excluded. Conclusions and Clinical Importance: Progressive familial JGN occurs in FM dogs. Characterization of the pathogenesis and mode of inheritance of this disease warrants additional study.     

Antibiotics: Their application in veterinary practice

A 3-week-old Thoroughbred colt was presented for weakness and cyanosis. A pansystolic regurgitant murmur and other physical findings suggested that the foal developed pulmonary oedema as a consequence of congenital heart disease. A large atria1 septal defect, a high ventricular septal defect and dysplasia of the atrioventricular valves were visualised echocardiographically. A persistent common atrioventricular canal was observed at necropsy.