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Case Report



Ascites with right heart failure in a dog: diagnosis and management

Karlapudi Satish Kumar, Devarakonda Srikala.




Abstract

A female Labrador dog presented with a history of distended abdomen was subjected for detailed clinical, physical, hemato-biochemical, eletrocardiographic, and ultrasonographic evaluation. Respiratory distress, weakness, fluid thrill on palpation of abdomen, cough, cyanotic tongue, and syncope were the significant manifestations. Whereas, elevated levels of creatine kinase, lactate dehydrogenase, alanine amino transferase, and alkaline phosphatase with normal blood urea nitrogen and creatinine were the common serum chemistry findings. Low voltage QRS complexes was the electrocardiographic abnormality. Classical ground glass appearance of abdomen, and enlarged heart with increased sternal contact were the radiographic findings of abdomen and thorax. Ultrasonography of abdomen revealed floating viscera in the anechoic effusion with engorged and distended hepatic vasculature. 2-dimensional echocardiography revealed dilated right ventricle both on B- and M-mode. Further, mitral and tricuspid valve insufficiency was also recorded on pulsed and color flow Doppler. Hence, right heart failure was confirmed as the cause for ascites and was successfully managed with losartas, spiranolactone, co-enzyme Q10 and tricholine citrate, and sorbitol.

Key words: Ascites, Co-enzyme Q10, Losartas, Right side heart failure, Spiranolactone






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