Balloon Valvuloplasty of Valvular Pulmonic Stenosis in the Dog

Schrope, Donald P.

doi:10.1053/j.ctsap.2005.05.007

Cited by 27 publications

(43 citation statements)

References 7 publications

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“…22 Balloon valvuloplasty was performed via the right jugular vein as previously described. 24 Balloon catheters used for the procedures were selected based on the recommended balloon-toannulus ratio (BAR) of 1.2e1.5. 5 An iodinated contrast material f was used during the procedures.…”

Section: Methodsmentioning

confidence: 99%

Cardiac troponin I and C-reactive protein concentrations in dogs with severe pulmonic stenosis before and after balloon valvuloplasty

Saunders

Smith

Fosgate

et al. 2009

Journal of Veterinary Cardiology

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Section: Methodsmentioning

confidence: 99%

Cardiac troponin I and C-reactive protein concentrations in dogs with severe pulmonic stenosis before and after balloon valvuloplasty

Saunders

Smith

Fosgate

et al. 2009

Journal of Veterinary Cardiology

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“…Unfortunately, in a clinical setting, administration of a high inspired fraction of oxygen before anaesthesia is not always possible before free induction in horses. Hypoxaemia could lead to an increased chance for myocardial hypoxia and ischaemic lesions, and subsequently to dysrhythmias and death (Carmichael and others 1989, Schrope 2005). Nevertheless, it could be hypothesised that a decreased alveolar oxygen content would augment PVR by inducing hypoxic pulmonary vasoconstriction, which would reduce the left-to-right flow through the VSD.…”

Section: Discussionmentioning

confidence: 99%

Horse: anaesthetic management for open castration of a Belgian draught horse with interventricular septum defect, aortic regurgitation and ventricular premature depolarisations

Cerasoli

Melis

Loon

et al. 2017

Vet Record Case Reports

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A 2 years and 11 months old Belgian draught horse stallion with a membranous ventricular septal defect, severe aortic regurgitation, mild left ventricular enlargement and ventricular premature depolarisations was anaesthetised to perform open castration. A balanced anaesthetic approach, involving intravenous use of romifidine (80 µg/kg), morphine (0.1 mg/kg) and lidocaine (1 mg/kg) for premedication, followed by induction of anaesthesia with ketamine (2.2 mg/kg) and midazolam (0.06 mg/kg) and maintenance with isoflurane, lidocaine CRI (50 µg/kg/min) and intratesticular lidocaine 2 per cent (10 ml in each testicle) was used to optimise the cardiovascular stability and enhance the safety of the procedure. A multimodal analgesic approach was provided, aiming to reduce the amount of isoflurane required to maintain a surgical plane of anaesthesia. A smooth and uneventful recovery was obtained. The present case report describes an anaesthetic protocol that could be applied in similar cases.

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“…Respiratory depression leading to hypoventilation, combined with hypotension, may result in a reduction in oxygen delivery to the myocardium causing arrhythmias and myocardial dysfunction. Ideal pharmacological choices would be those agents that are short acting, rapidly reversible and void of the above effects (Schrope 2005). …”

Section: Discussionmentioning

confidence: 99%

A fatal complication arising during pulmonic balloon valvuloplasty in a seven‐month‐old female bulldog

Thompson

Pedro

2016

Vet Record Case Reports

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A seven-month-old female bulldog with severe valvular pulmonic stenosis and ventricular septal defect presented for general anaesthesia for repeat balloon valvuloplasty. The first balloon valvuloplasty procedure was not successful. The second balloon valvuloplasty was effective but was associated with cardiovascular collapse, which was unresponsive to atropine and epinephrine administration and progressed to asystole. Cardiopulmonary resuscitation was unsuccessful. Anaesthetic management of dogs undergoing balloon valvuloplasty is challenging. Selection of anaesthetic technique must consider existing cardiac pathology, common intraprocedural and postprocedural complications and their management options. This case report describes a fatal intraoperative complication of balloon valvuloplasty unresponsive to anticholinergic and sympathomimetic treatment and discusses potential aetiologies of the complication and reasons for treatment failure.

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Balloon Valvuloplasty of Valvular Pulmonic Stenosis in the Dog

Cited by 27 publications

References 7 publications

Cardiac troponin I and C-reactive protein concentrations in dogs with severe pulmonic stenosis before and after balloon valvuloplasty

Cardiac troponin I and C-reactive protein concentrations in dogs with severe pulmonic stenosis before and after balloon valvuloplasty

Horse: anaesthetic management for open castration of a Belgian draught horse with interventricular septum defect, aortic regurgitation and ventricular premature depolarisations

A fatal complication arising during pulmonic balloon valvuloplasty in a seven‐month‐old female bulldog

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