Coronary arterial compression testing by simultaneous balloon valvuloplasty and coronary angiography in an English bulldog with pulmonary valve stenosis

K. R.S. Morgan; C. Stauthammer; B. Stewart; W. Gordon-Evans; S. Arai; C. Baldo; D. Gruenstein

doi:10.1016/j.jvc.2021.03.009

Coronary arterial compression testing by simultaneous balloon valvuloplasty and coronary angiography in an English bulldog with pulmonary valve stenosis

K. R.S. Morgan, C. Stauthammer, B. Stewart, W. Gordon-Evans, S. Arai, C. Baldo, D. Gruenstein

Veterinary Clinical Sciences

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

A 4-year-old male neutered English bulldog presented for heart murmur evaluation. Echocardiography identified severe pulmonic stenosis (an echocardiography-derived transpulmonary pressure gradient of 100 mmHg), and computed tomography confirmed the presence of an anomalous coronary artery with a prepulmonic course of the left coronary artery arising from the right coronary ostium. Before artificial pulmonic valve implantation, a coronary compression test was performed. A simultaneous aortic root angiogram and pulmonic balloon valvuloplasty revealed complete occlusion of the circumflex branch. Artificial valve implantation was aborted with concern for fatal coronary compression after implantation. Coronary compression testing is a critical component of the evaluation before catheter-based implantation of conduits across the pulmonic valve.

Original language	English (US)
Pages (from-to)	124-129
Number of pages	6
Journal	Journal of Veterinary Cardiology
Volume	35
DOIs	https://doi.org/10.1016/j.jvc.2021.03.009
State	Published - Jun 2021

Bibliographical note

Funding Information:
The authors would like to thank Medtronic, Minneapolis, particularly Noah Barka, Tara Nahey, and Justin Sutkowski for the donation of the Melody valve™ and their technical expertise.

Publisher Copyright:
© 2021 Elsevier B.V.

Keywords

Anomalous
Conduit
Intervention
Pulmonic

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Case Reports
Journal Article

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title = "Coronary arterial compression testing by simultaneous balloon valvuloplasty and coronary angiography in an English bulldog with pulmonary valve stenosis",

abstract = "A 4-year-old male neutered English bulldog presented for heart murmur evaluation. Echocardiography identified severe pulmonic stenosis (an echocardiography-derived transpulmonary pressure gradient of 100 mmHg), and computed tomography confirmed the presence of an anomalous coronary artery with a prepulmonic course of the left coronary artery arising from the right coronary ostium. Before artificial pulmonic valve implantation, a coronary compression test was performed. A simultaneous aortic root angiogram and pulmonic balloon valvuloplasty revealed complete occlusion of the circumflex branch. Artificial valve implantation was aborted with concern for fatal coronary compression after implantation. Coronary compression testing is a critical component of the evaluation before catheter-based implantation of conduits across the pulmonic valve.",

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author = "Morgan, {K. R.S.} and C. Stauthammer and B. Stewart and W. Gordon-Evans and S. Arai and C. Baldo and D. Gruenstein",

note = "Funding Information: The authors would like to thank Medtronic, Minneapolis, particularly Noah Barka, Tara Nahey, and Justin Sutkowski for the donation of the Melody valve{\texttrademark} and their technical expertise. Publisher Copyright: {\textcopyright} 2021 Elsevier B.V.",

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AU - Morgan, K. R.S.

AU - Stauthammer, C.

AU - Stewart, B.

AU - Gordon-Evans, W.

AU - Arai, S.

AU - Baldo, C.

AU - Gruenstein, D.

N1 - Funding Information: The authors would like to thank Medtronic, Minneapolis, particularly Noah Barka, Tara Nahey, and Justin Sutkowski for the donation of the Melody valve™ and their technical expertise. Publisher Copyright: © 2021 Elsevier B.V.

PY - 2021/6

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N2 - A 4-year-old male neutered English bulldog presented for heart murmur evaluation. Echocardiography identified severe pulmonic stenosis (an echocardiography-derived transpulmonary pressure gradient of 100 mmHg), and computed tomography confirmed the presence of an anomalous coronary artery with a prepulmonic course of the left coronary artery arising from the right coronary ostium. Before artificial pulmonic valve implantation, a coronary compression test was performed. A simultaneous aortic root angiogram and pulmonic balloon valvuloplasty revealed complete occlusion of the circumflex branch. Artificial valve implantation was aborted with concern for fatal coronary compression after implantation. Coronary compression testing is a critical component of the evaluation before catheter-based implantation of conduits across the pulmonic valve.

AB - A 4-year-old male neutered English bulldog presented for heart murmur evaluation. Echocardiography identified severe pulmonic stenosis (an echocardiography-derived transpulmonary pressure gradient of 100 mmHg), and computed tomography confirmed the presence of an anomalous coronary artery with a prepulmonic course of the left coronary artery arising from the right coronary ostium. Before artificial pulmonic valve implantation, a coronary compression test was performed. A simultaneous aortic root angiogram and pulmonic balloon valvuloplasty revealed complete occlusion of the circumflex branch. Artificial valve implantation was aborted with concern for fatal coronary compression after implantation. Coronary compression testing is a critical component of the evaluation before catheter-based implantation of conduits across the pulmonic valve.

KW - Anomalous

KW - Conduit

KW - Intervention

KW - Pulmonic

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Coronary arterial compression testing by simultaneous balloon valvuloplasty and coronary angiography in an English bulldog with pulmonary valve stenosis

Abstract

Bibliographical note

Keywords

PubMed: MeSH publication types

UN SDGs

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