Charlotte, NC Last call for “Charlie” A1077804 if your rescue is willing to give this handsome boy a chance please come pull by close this Saturday 9/18/14. Male pit bull Eligible for a Free Fixin and $300.00 medical sponsorship if rescue pulls Age: 4-5 months Weight: 31.2 Temp: 104.4... Fecal: no eggs found Htwm test: n/a too young Phys. Exam: Has grade 3 heart murmur. Eyes and nose clear. Temp is high but no sign of kennel cough. Ears are clean. Animal is happy and active. Tx: no rabies: temp too high *set review for temp and rabies* chip when rescue comes Charlie had 2 follow up echocardiograms and echo was reviewed by a cardiologist Results as follows: ASSESSMENT: 1.) Pulmonic Dysplasia/Stenosis – severe 2.) Patent Foramen Ovale – suspected RECOMMENDATIONS: This patient has congenital severe Pulmonic Stenosis (PS) and is suspected to have a patent foramen ovale (secondary consequence of having elevated right atrial pressures). Many dogs with severe PS have no clinical signs and a reasonable quality and quantity of life, however, they do have risk for exercise intolerance, syncope, arrhythmias, right-sided congestive heart failure and even passing away suddenly. Charlie may have right-to-left shunting of blood flow from his RA to his LA through the patent foramen ovale. The goal of therapy will be to decrease the severity of his PS to decrease the workload of this myocardium, decrease right atrial pressure and reduce the possible clinical significance of the R-to-L shunt. This patient has no echocardiographic evidence of endocarditis. Recommend continued antibiotics for an unknown source of inflammation/infection and close monitoring of patient response. Patient’s lethargy may be secondary to inflammation/infection or secondary to cardiac disease. Atenolol is recommended to prevent tachycardia and reduce work load in dogs with severe PS. Recommend giving 1.0mg/kg atenolol PO BID and 1500mg of fish oil daily. This patient should be stabilized on atenolol for approximately 1 month prior to considering anesthesia for his neuter. When anesthesia is pursued, recommend avoiding ketamine, telazol, and dexdormitor. Recommend opioids/benzodiazepines with propofol induction and gas maintenance. Recommend a quick anesthesia. Recommend preventing strenuous exercise and exercising in the heat. Ideally, recommend obtaining a local consultation with a cardiologist for life-long monitoring and diagnostics for optimum care. Recommend recheck ECG and echocardiogram in 3 months to assess response to atenolol and re-assess the abnormalities of the PV. The pulmonary valve is very abnormal in appearance and this patient may or may not be a good candidate for BVP. Echocardiography re-assessment after atenolol therapy will help to determine if BVP is a good option, however fluoroscopy/contrast studies may be necessary. Kiesa Mccoy CHARLOTTE MECKLENBURG POLICE DEPARTMENT Animal Care & Control Bureau 8315 Byrum Dr Charlotte, NC 28217 PH# 704-336-3166 Fax# 704-336-7842 [email protected] [email protected] [email protected] charmeck.org/city/charlotte/CMPD/organization/Support/AnimalControl/Pages/default.aspx facebook/#!/animalscmpd petfinder/pet-search?shelter_id=NC127
Posted on: Fri, 19 Sep 2014 12:32:44 +0000
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