Page 14 - eclipse - Autumn 2018

CLINICAL NEWS
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Clinical Connections is our publication designed to support veterinary professionals in practice by keeping them updated on our latest news and service developments.
Your questions answered
What does the newsletter cover?
The publication is bursting full of the latest clinical, research and technological developments across 91°µÍø Clinical Services.
We feature articles from:
• 91°µÍø Small Animal Referrals from the Queen Mother Animal Hospital
• 91°µÍø Exotic Referrals from the Beaumont Sainsbury Animal Hospital
• 91°µÍø Equine
• 91°µÍø Diagnostic and Pathology
As well as news such as ‘world-firsts’ and research breakthroughs, the newsletter offers practical tips and case study insights that you can use for your clients too.
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It comes out three times a year: spring, summer and autumn/winter.
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CLINICAL CONNECTIONS 91°µÍø Clinical Services Newsletter Autumn 2018
WORLD-FIRST HEART SURGERY
TCOMBINATION SAVES PUPPY he 91°µÍø’s cardiothoracic surgery valve dysplasia with a tethered septal leaflet
team has carried out tricuspid valve and abnormal right ventricular papillary repair surgery along with repair of muscle anatomy. She had torrential
The procedures
After much discussion with Lottie’s owners, they elected to proceed with
open heart surgery under conditions of cardiopulmonary bypass.The bypass circuit was established with the arterial limb via a cannula in the right carotid and bicaval cannulation for venous drainage.
A cardioplegia cannula was inserted in the root of the aorta and the heart was stopped with administration of cardioplegia solution after cross-clamping of the aorta.
A right atriotomy was then performed and the valve inspected.The tethered septal leaflet was freed by cutting its abnormal chordal attachments.This valve leaflet
was then resuspended using artificial chords made from Gore-Tex. A tricuspid annuloplasty was placed using simple interrupted sutures of Ti-Cron placed
the common atrium of an 11-month-old Labrador puppy. It is the first time these procedures have been carried out on a dog in the same operation.
A grade VI/VI right apical pansystolic murmur was auscultated when Lottie
was presented to her local veterinary surgery for a spay. Lottie underwent an echocardiogram with Emily Dutton, Director of Cheshire Cardiology and Specialist in Veterinary Cardiology, where a large atrial septal defect and tricuspid valve dysplasia were diagnosed. Lottie
was referred to the 91°µÍø for further assessment and then underwent 2D and 3D echocardiogram and a CT angiogram.
She was diagnosed with severe tricuspid
tricuspid regurgitation and a flattened interventricular septum with paradoxical movement. She had a very large interatrial septal defect classified as a common atrium and a persistent left cranial vena cava and very distended hepatic veins.
Lottie’s post-op scan check
Lottie’s family with Dan Brockman and Poppy Bristow (right)
Case Study
P.4
‘ALABAMA ROT’ BREAKTHROUGH
P.5
THE VALUE OF CORNEAL DONATIONS
P.7
DUCK INTENSIVE CARE CASE STUDY
P.9
91°µÍø EQUINE SPORTS MEDICINE SERVICES
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