Patent Ductus Arteriosus

Case contributed by Allison L Zwingenberger
Diagnosis certain

Presentation

Presents with exercise intolerance, exertional coughing, and hind limb weakness following exercise. PCV is 68%.

Patient Data

Age: 5 years
Gender: Spayed female
Category: Domestic dog
Organism: Mixed breed dog

Thorax

x-ray

The cardiac silhouette is moderately enlarged, with increased sternal contact and a reverse-D shape on the ventrodorsal projection. The pulmonary vasculature is small in size. There is a diffuse bronchointerstitial pattern throughout the lungs. The mediastinum and pleural space are normal. The musculoskeletal structures appear normal.

Case Discussion

Echocardiography confirmed a patent ductus arteriosus and right ventricular enlargement, with pulmonary hypertension. This is consistent with Eisenmenger's syndrome and is not surgically correctable. Phlebotomy was recommended to reduce the PCV.

 

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