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Gerbode defect associated with blunt trauma in a dog.

Melanie J Hezzell1, Simon Dennis, Daniel H Lewis

  • 1Department of Veterinary Clinical Sciences, The Royal Veterinary College, Hawkshead Lane, North Mymms, Hertfordshire AL9 7TA, UK. mhezzell@rvc.ac.uk

Journal of Veterinary Cardiology : the Official Journal of the European Society of Veterinary Cardiology
|June 7, 2011
PubMed
Summary

A dog sustained myocardial trauma after a car accident, leading to ventricular arrhythmia and complex septal defects. Echocardiography identified a ventricular septal defect (VSD) and an atrial septal defect (ASD) with initial right-to-left shunting.

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Area of Science:

  • Veterinary Cardiology
  • Cardiovascular Surgery
  • Canine Traumatology

Background:

  • Traumatic cardiac injuries in animals can lead to complex hemodynamic alterations.
  • Understanding the progression of cardiac defects post-trauma is crucial for effective management.
  • This case highlights the importance of advanced imaging in diagnosing post-traumatic cardiac complications in dogs.

Observation:

  • A 6-year-old Labrador retriever presented with ventricular arrhythmia 12 hours after being struck by a car.
  • Echocardiography revealed a subaortic paramembranous ventricular septal defect (VSD) with left-to-right shunting into the right atrium (Gerbode defect).
  • A right-to-left shunting atrial septal defect (ASD) and subsequent pleural and peritoneal effusions were also observed.

Findings:

  • Initial right-to-left shunting across the ASD reversed to left-to-right by 15 days post-trauma.
  • Persistent left-to-right shunting across the VSD was noted.
  • Resolution of cavitary effusions occurred by 15 days post-trauma.

Implications:

  • This case demonstrates the dynamic nature of traumatic cardiac septal defects in canines.
  • Early diagnosis and monitoring of VSD and ASD are vital for managing post-traumatic cardiac dysfunction.
  • Findings underscore the need for comprehensive echocardiographic evaluation following significant blunt force trauma in veterinary patients.