VSD?

RE: VSD?

AlanH — Tue, 25 Jun 2019 08:17:16 GMT

Thanks Dave - appreciate the comments, I will check clinically next time, would've been nice to have picked up a suspicion of something else prior to the echo - a good reminder not to assume the obvious all the time!

Cheers

Alan

RE: VSD?

Dave Dickson — Mon, 24 Jun 2019 17:46:41 GMT

Hi Alan Nice work and nice images. Yep I agree, this is a small restrictive perimembranous VSD which it has had since birth. Not uncommon to pick these up later in life. Did you listen on the right? If you get a chance to listen again, listen really far right cranial (right under the axilla) - most VSDs are loudest there (though not all). There are some breed predispositions but I've seen VSDs in loads of breeds including small things so the Maltese doesn't surprise me at all. Leave alone, no need to monitor unless the murmur changes (develops a new left apical murmur etc). They can get DMVD like any dog so worth listening periodically but I don't re-scan unless there is something bad going on elsewhere. Dave

RE: VSD?

Anthony Dennison — Mon, 24 Jun 2019 17:19:12 GMT

If it's a VSD the dog has likely had it since birth, and not only is it clinically normal but filling pressures and flow velocities are also normal. Leave alone and monitor?