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Anaesthetic management for balloon dilation of cor triatriatum dexter in a dog
Authors:Valentina De Monte  Francesco Staffieri  Domenico Caivano  Antonello Bufalari
Institution:.Department of Veterinary Medicine, University of Perugia, S. Costanzo Street 4, Perugia, 06126 Italy ;.Department of Emergency and Organ Transplantation (DETO), Section of Veterinary Clinics and Animal Production, University of Bari, SP per Casamassima km 3, Valenzano, 70010 Italy
Abstract:A three-month-old female Rottweiler puppy was referred for intravascular correction of a previously identified cor triatriatum dexter. Echocardiography confirmed the presence of a hyperechoic membrane that divided the right atrium into a cranial and caudal chamber. A foramen in this membrane allowed the blood to flow from the caudal to the cranial chamber. Balloon dilation of the defect under transthoracic echocardiographic guidance was scheduled for the following day. The dog was premedicated with 0.5 μg/kg sufentanil and 0.2 mg/kg midazolam administered intravenously. General anaesthesia was induced with 2 mg/kg propofol and maintained with inhaled isoflurane in oxygen; at the same time, a constant rate infusion of 0.5 μg/kg/h sufentanil was administered by means of an infusion pump. Uneventful ventricular and supraventricular tachyarrhythmias developed during the placement of catheters and balloon dilation. At the end of procedure, when the guide wire and balloon catheter were removed, normal sinus rhythm was observed. To the authors’ knowledge, no previous reports have described the anaesthetic management of a balloon dilation procedure for cor triatriatum dexter in dogs.
Keywords:Anaesthesia  Arrhythmia  Balloon dilation  Canine  Cor triatriatum dexter  Puppy
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