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− | |linkpage =Cardiology - WikiClinical
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− | |linktext =Cardiology
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− | |sublink1=Cardiovascular Conditions - WikiClinical
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− | |subtext1=CARDIOVASCULAR CONDITIONS
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− | |maplink1= Cardiovascular Conditions (Content Map) - WikiClinical
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| {{dog}}{{cat}} | | {{dog}}{{cat}} |
| *Common in dogs: especially subvalvular lesions; Boxers usually have valvular stenosis | | *Common in dogs: especially subvalvular lesions; Boxers usually have valvular stenosis |
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| -Sudden death within the first 1-3 years of life | | -Sudden death within the first 1-3 years of life |
| + | |
| + | ==From Pathology== |
| + | |
| + | Obstructs blood flow from the left ventricle to the aorta. Stenosis may be: |
| + | *Subvalvular (most common in dog and cat). |
| + | *Valvular. |
| + | *Supravalvular. |
| + | Subvalvular stenosis results in a jet of blood hitting the aortic valve, leading to damage and increased risk of developing endocarditis. |
| + | |
| + | ''Incidence:'' |
| + | *Increased prevalence in Boxers and Golden retrievers. |
| + | *Autosomal dominant in Newfoundlands. |
| + | |
| + | ''Clinical Signs:'' |
| + | *Vary from asymptomatic to degrees of exercise intolerance, syncope and even sudden death. |
| + | *Harsh systolic murmur at left heart base. |
| + | Grade correlates with grade of murmur. |
| + | High grade murmurs also have a precordial thrill. |
| + | *Murmur may have a diastolic component due to aortic valve damage and insufficiency. |
| + | *Weak femoral pulse. |
| + | |
| + | ''Diagnosis:'' |
| + | *Left ventricular enlargement on radiology and ECG. |
| + | *Post-stenotic dilatation of the aorta may be visible on radiographs. |
| + | *Echogenic fibrous ring may be seen on echocardiography. Again, Doppler is useful to detect flow rates. |
| + | |
| + | ''Treatment:'' |
| + | *'''Balloon valvuloplasty'''; often unsuccessful. |
| + | *Mild cases need no management. |
| + | *Medical management; Beta-blockers to decrease myocardial oxygen consumption. |
| + | *Prognosis guarded, death due to arrythmias in abnormal myocardium. |
| + | |
| + | [[Category:Cardiovascular_System_-_Developmental_Pathology]] |