Balloon valvuloplasty in 30 dogs with pulmonic stenosis: effect of valve morphology and annular size on initial and 1-year outcome

J Vet Intern Med. 2001 Nov-Dec;15(6):553-8. doi: 10.1892/0891-6640(2001)015<0553:bvidwp>2.3.co;2.

Abstract

Case records of 30 dogs in which valvular pulmonic stenosis (PS) was treated by balloon dilation were reviewed retrospectively. Physical examination, thoracic radiographs, 9-lead ECG, echocardiography, and Doppler studies were performed in all dogs. Two-dimensional and Doppler echocardiography were repeated after 24 h and 1 year after treatment. Dogs were divided into 2 groups based on their valvular anatomy on echocardiography and aortic:pulmonary ratio: 18 had type A PS with normal annulus diameter and aortic:pulmonary ratio < or = 1.2, and 12 had type B PS with pulmonary annulus hypoplasia and aortic:pulmonary ratio > 1.2. Most dogs in the type B group were brachycephalic and had no poststenotic dilatation on thoracic radiographs. Of the dogs with type A stenosis, 100% survived valvuloplasty with resolution of clinical signs. At 1-year follow-up, 94.4% were still alive and remained asymptomatic. Of those with type B stenosis, 66.6% had favorable outcome postvalvuloplasty. At 1-year follow-up, 66.6% of dogs were alive, and resolution of clinical signs was obtained in 50%. This study revealed the immediate and long-term efficacy of balloon valvuloplasty in dogs with PS.

Publication types

  • Clinical Trial

MeSH terms

  • Animals
  • Catheterization / methods
  • Catheterization / veterinary*
  • Dog Diseases / therapy*
  • Dogs
  • Echocardiography / veterinary
  • Electrocardiography
  • Female
  • Follow-Up Studies
  • Male
  • Pulmonary Valve Stenosis / therapy
  • Pulmonary Valve Stenosis / veterinary*
  • Survival Analysis
  • Treatment Outcome
  • Ultrasonography, Doppler / veterinary