Cardiovascular Diseases in Large Animals Flashcards
Ventral Septal Defect (VSD)
Most common congenital cardiac defect in large animal
Opening in the ventricular septum (high membrane)
What is VSD caused by?
Failure of fusion between endocardial cushion and muscular part of the septum or between truncal septum and concal septum
Pathophysiology of VSD
L to R shunt between LV and RV causes volume overload of RV → pulmonary hypertension and dilation of RV and LA → LV fails from chr. volume overload → congenital heart failure , excessive turbulence, endocarditis, and aortic regurg
Cs of VSD
Pansystolic murmurs
Palpable cardiac thrill
Poor growth, leth., dyspnea
Diagnosis of VSD
Clin path: polycythemia
Rads: cardiomegaly, lung vascularization
Patent Ductus Arteriosus (PDA)
Connects the pulmonary artery and aorta
Single defect or a complex anomaly
Pathophysiology of PDA
L. to R. shunt from aorta to pulmonary artery →↑ the volume load on the RV → RV fails or dilates and hypertrophies → pulm. hypertension and congestion
CS of PDA
Leth, dyspnea, exercise intolerance and CHF
Continuous murmur (high pitch and of alt intensity)
TX of PDA
Sx in neonates
Small PDA asymptomatic, large= poor prog
DX of PDA
Angiocardiography
Tetralogy of Fallot
- Over-riding aorta
- VSD
- Pulmonic stenosis with obstruction of pulm. arterial flow
- RV hypertrophy due to obstruction of pulm. arterial flow
Pentaology= 5. atriall septal defect
What is tetralogy of fallot caused by?
Abnormal development of the conal septum in the embryonic heart
More common calves than foals
Pathophysiology of tetralogy of fallot
Obstruction → severely reduced pulm. circulation → severe cyanosis
CS of tetralogy of fallot
Cyanosis of mm, nose and skin
Exercise intolerance, slow or stunted growth
Loud pansystolic murmur (crescendo-decrescendo or plateau shaped), palpable thrill
Dx of tetralogy of fallot
Echo
Clin Path: ↑ PCV and RBC count from polycythemia
Poor prog