Journal article
Evaluation of closed pericardial patch grafting for management of severe pulmonic stenosis
Australian Veterinary Journal, Vol.82(1-2), pp.33-37
2004
Abstract
Closed pericardial patch-grafting has been advocated for the treatment of severe pulmonic stenosis. In this study pre- and postoperative echocardiography was used to determine if the transvalvular pressure gradient was successfully lowered by this surgery and whether it remained lowered long term. The valvulotomy-ventriculectomy wire was passed using a blunt needle in four dogs (Bresnock technique1) and via a soft catheter in five dogs (Shores and Weirich modification). Eight of nine patients survived the perioperative period. These dogs were assessed up to 40 months following surgery for clinical and echocardiographic changes. Five cases showed significant decrease in peak pulmonic pressure gradient immediately after surgery (decreasing by 50–81%, P < 0.05), and six cases showed significant decrease 2 to 40 months postoperatively (decreasing by 31–80%, P < 0.005) when compared to preoperative values. There was no significant change in pulmonic pressure gradient from immediately postoperatively to 2 to 40 months postoperatively (P < 0.48). Six dogs showed clinical improvement post-operatively, however persistent right ventricular hypertrophy was observed in all cases. One dog died with symptoms of congestive heart failure 16 months postoperatively. Closed pericardial patch grafting can improve clinical signs in symptomatic patients, however the surgery has significant risks, long term prognosis for these patients is guarded and recurrence of clinical signs and development of congestive heart failure is possible. Cardiac changes can be monitored with Doppler flow echocardiography. Patients with extremely elevated preoperative pressure gradients may be expected to have poorer outcomes.
Details
- Title
- Evaluation of closed pericardial patch grafting for management of severe pulmonic stenosis
- Authors/Creators
- K.L. Staudte (Author/Creator)N.R. Gibson (Author/Creator)R.A. Read (Author/Creator)G.A. Edwards (Author/Creator)
- Publication Details
- Australian Veterinary Journal, Vol.82(1-2), pp.33-37
- Publisher
- Wiley-Blackwell
- Identifiers
- 991005542372507891
- Murdoch Affiliation
- School of Veterinary and Biomedical Sciences
- Language
- English
- Resource Type
- Journal article
UN Sustainable Development Goals (SDGs)
This output has contributed to the advancement of the following goals:
Source: InCites
Metrics
33 Record Views
InCites Highlights
These are selected metrics from InCites Benchmarking & Analytics tool, related to this output
- Collaboration types
- Domestic collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.37 Cardiology - General
- 1.37.309 Congenital Heart Disease
- Web Of Science research areas
- Veterinary Sciences
- ESI research areas
- Plant & Animal Science