VSD in an 8-Month-Old DSH Cat; SDEP™ ECHO Attendee SonoPodcast: Case Of the Month May 2019
Dr. Karen Ebersole, owner of Scanvet, a mobile veterinary ultrasound service in Auburn, Maine submitted this rather brilliant feline VSD case after attending SonoPath's SDEP™ ECHO course this past March. She selected our SonoPodcast option for this echocardiogram where Dr. Eric Lindquist offers his critique of technique on submitted ultrasound scans, plus a report. You can use these valuable videos with voiceover to further educate yourself on scanning approaches and angles to increase your own ultrasound efficiency. To submit a SonoPodcast, select it from the drop down menu on SonoPath's SPA: Your Home for Educational Telemedicine™
The patient was found as a stray. Loud heart murmur, left chest wall flattened inward (likely congenital). Large reducible umbilical hernia. Unable to do any ultrasound on kitten without sedation. Sedated with Alfaxolan, Midazolam and Butorphanol IM. Physical exam: flattened left chest wall, right side normal. Heart: 4-5/6 holosystolic murmur loudest on the Rt side. Large reducible umbilical hernia, all else WNL.
A ventricular septal defect was noted in this patient with left to right shunting. No clinically significant volume overload, appears compensated. The septal defect measured approximately 2-3 mm. CW Doppler revealed left to right shunting at approximately 5.5 m/sec.