Case Background
Name: toudou
Age: 12
Weight: 10kg
MMVD: phase B2
Clinical Presentation
We are lucky to save many small lives! Next, let's review the treatment process of Doudou~
Brief description of toudou's condition
Grade B2 chronic mitral valve disease, grade VI / VI systolic murmur at left apex; The X-ray film showed that the left atrium was enlarged, the vertebral heart score was 12.2, the vertebral left atrium score was 2.6, and the X-ray left atrium diameter was 2.4; Echocardiography revealed LA / AO ratios of 2.36 (2D) and 2.4 (mm), lviddn = 2.42; Systolic blood pressure level I TOD risk;
VC operation was performed on May 9
Multiple bundles of reflux holes were found during operation, and double clips were used for clamping.
Data two weeks after operation:
The mental state improved significantly. The atrium was significantly smaller, LA / AO = 1.98, lviddn = 1.95, reduced by 19%, and the degree of left ventricular volume overload was reduced.
Grade B2 chronic mitral valve disease, grade VI / VI systolic murmur at left apex; The X-ray film showed that the left atrium was enlarged, the vertebral heart score was 12.2, the vertebral left atrium score was 2.6, and the X-ray left atrium diameter was 2.4; Echocardiography revealed LA / AO ratios of 2.36 (2D) and 2.4 (mm), lviddn = 2.42; Systolic blood pressure level I TOD risk;
VC operation was performed on May 9
Multiple bundles of reflux holes were found during operation, and double clips were used for clamping.
Data two weeks after operation:
The mental state improved significantly. The atrium was significantly smaller, LA / AO = 1.98, lviddn = 1.95, reduced by 19%, and the degree of left ventricular volume overload was reduced.
Pocket preoperative ultrasound
Postoperative ultrasonography
Preoperative X-ray of pocket
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Postoperative X-ray of pocket |
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Mitral regurgitation is very common in small dogs in the elderly, with an incidence rate of 20-30%. The occurrence of the disease is related to breed, age and gender. The age of sick dogs is mostly distributed in 5 ~ 16 years old. The disease rate increases with age, mostly in small dogs and male dogs. Canine mitral regurgitation has characteristic night cough, night asthma, weakness, exercise intolerance or fatigue after exercise and excitement, prolonged recovery time, severe purple tongue color, syncope and so on. The survival time of dogs with severe mitral regurgitation is only 3-6 months.The control effect of traditional drugs is general, which can only alleviate symptoms, can not be cured, and the condition will still gradually worsen. The monthly drug cost ranges from 2000 to 4000 yuan. Or valve replacement. The operation is difficult, high risk, high mortality and expensive. At present, only a few teams in the world have completed individual cases, which can not be popularized in a large area.
Shanghai Hongyu medical v-clamp minimally invasive surgery has high safety, small trauma and fast recovery. It does not need cardiac arrest and cardiopulmonary bypass. It cuts a 2-3cm incision in the precordial area, punctures the heart and sends instruments to complete mitral valve repair, reduces mitral regurgitation, and provides a new technical scheme for the treatment of canine mitral regurgitation.
