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  Case Study 8: Pulmonary Hypertension
 

This is a 3-year old mix breed dog with moderate mitral insufficiency, nephritic syndrome and acute pulmonary hypertension potentially due to pulmonary thromboembolism.

   
 
  Image 1  
   
     
   
  Image 1: Mitral insufficiency is measured with CW Doppler to maximize the insufficiency jet at 6.02 m/sec.
   
 
  Video 1  
 

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Video 1: Video of color flow turbulence over the tricuspid valve with complete color filling of the right atrium.

   
 
  Image 2  
   
 

 

 
   
  Image 3: CW spectral Doppler assessment of the tricuspid insufficiency visible in the prior video. The tricuspid insufficiency velocity is 3.5 meters/sec indicative of moderate pulmonary hypertension. This is a key measurement to perform when pulmonary embolism is suspected since pulmonary hypertension can form rapidly in these cases.