X DV LR RA RV LA LV ALP IU/l PS, PS BV BV. kg. mg/kg, BID, PO. mg/kg, BID, PO. mg/kg, SC. mg/kg, IV mg/kg, IV Fr Fr mm Amplatz COOK Japan mm cm Tyshak

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1 短報要約. m/s. mmhg 背景 Pulmonic stenosis : PS, Ventricular septal defect : VSD PS VSD Balloon valvuloplasty : BV 症例. kg Grade VI/VI X DV CTR. D LR VHS. v mm mm. m/s. mmhg. mm. m/s PS VSD FAX fujiiy@azabu-u.ac.jp 512

2 X DV LR RA RV LA LV ALP IU/l PS, PS BV BV. kg. mg/kg, BID, PO. mg/kg, BID, PO. mg/kg, SC. mg/kg, IV mg/kg, IV Fr Fr mm Amplatz COOK Japan mm cm Tyshak, NuMED Inc, U.S.A. 513

3 PS VSD BV BV kg m/s mmhg VSD VSD m/s mm mm / VSD cm mm Qp/Qs g/kg/min g/kg/min mg/kg, PO R on T. mg/kg, BID, PO. mg/kg, BID, PO mg/kg, BID, PO. mg/kg, SID, PO mg/kg, BID, PO BV BV VSD BV. mm BV. mm VSD 514

4 BV LA/AO. BV 考察 BV. cm.. cm. cm.. cm / LA/AO. PS VSD. mg/kg, SID, PO BV VSD PS mmhg mmhg mmhg,,, PS PS VSD BV PS VSD BV VSD VSD BV PS BV BV VSD VSD 515

5 PS VSD PS PS BV BV mmhg mmhg,, BV PS VSD PS VSD PS VSD PS BV,, BV PS VSD PS PS BV VSD VSD,,,, BV PS Qp/Qs VSD 引用文献 Kittleson MD, Kienle RD, Medical Science ( ) Fingland RB, Bonagura JD, Myer CW : Pulmonic stenosis in the dog: cases ( ), J Am Vet Med Assoc,, ( ) Kittleson MD, Kienle RD, Medical Science ( ) Bussadori C, DeMadron E, Santilli RA, Borgarelli M : Balloon valvuloplasty in dogs with pulmonic stenosis: Effect of valve morphology and annular size on initial and -year outcome, J Vet Intern Med,, ( ) Francis AJ, Johnson MJS, Culshaw GC, Corcoran BM, Martin MW, French AT : Outcome in dogs with pulmonic stenosis that did not undergo ballon valvuloplasty or surgery, J Small Anim Pract,, ( ) Johnson MS, Martin M : Results of balloon valvuloplasty in dogs with pulmonic stenosis, J Small Anim Pract,, ( ) Johnson MS, Martin M, Edwards D, French A, Henley W : Pulmonic stenosis in dogs: Balloon dilation improves clinical outcome, J Vet Intern Med,, ( ) Tanaka R, Shimizu M, Hoshi K, Soda A, Saida Y, Takashima K, Yamane Y : Efficacy of open patch-grafting under cardiopulmonary bypass for pulmonic stenosis in small dogs, Aust Vet J,, ( ) Fujiwara M, Harada K, Mizuno T, Nishida M, Mizukoshi T, Mizuno M, Uechi M : Surgical treatment of severe pulmonic stenosis under cardiopulmonary bypass in small dogs, J Small Anim Prac,, ( ) Kirklin JW, Barratt-Boyes BG : Valvar pulmonary stenosis and ventricular septal defect, Cardiac surgery, nd ed,, Churchill Livingstone, New York ( ) Lombard CW, Ackerman N, Berry CR, King RR, Buergelt CD : Pulmonic stenosis and right-to-left atrial shunt in three dogs, J Am Vet Med Assoc,, ( ) Locatelli C, Domenech O, Silva J, Oliveira P, Sala E, Brambilla PG, Bussadori C : Independent predictors of immediate and long-term results after pulmonary balloon valvuloplasty in dogs, J Vet Cardio,, ( ) 516

6 Oliveira P, Domenech O, Silva J, Vannini S, Bussadori R, Bussadori C : Retrospective review of congenital heart disease in dogs, J Vet Intern Med,, ( ) Kirklin JW, Barratt-Boyes BG : Ventricular septal defect, Cardiac surgery, nd ed,, Churchill Livingstone, New York ( ) Balloon Valvuloplasty in a Dog with Severe Pulmonic Stenosis and Ventricular Septal Defect Utosa MOSAKI ), Yoko FUJII ), ), Hiroshi SUNAHARA ), ), Hiroshi TAKANO ) ), ) and Takuma AOKI ) Department of Cardiology, Teaching Animal Hospital, Azabu University, Fuchinobe, Chuo-ku, Sagamihara, , Japan ) Laboratory of Surgery, Azabu University, Fuchinobe, Chuo-ku, Sagamihara, , Japan ) School of Veterinary Medicine, Rakuno Gakuen University, 582 Midorimachi, Bunkyodai, Ebetsu, , Japan SUMMARY A -month-old Italian Greyhound was referred because of a cardiac murmur. Echocardiography revealed severe valvular pulmonic stenosis (PS, pulmonary artery velocity:. m/s, estimated pressure gradient across the pulmonic valve:. mmhg) and muscular ventricular septal defect (VSD) shunting from right to left (R L) due to increased right ventricular systolic pressure. The oxygen saturation was %. Percutaneous balloon valvuloplasty was selected as a treatment because the PS was critical. It was successfully performed, and the right ventricular pressure overload was dramatically decreased. The VSD shunting changed from R L to L R. The oxygen saturation also improved to %. Eighteen months after the procedure at this point, the dog is doing well without showing any signs of left ventricular volume overload due to VSD. Key words : Percutaneous balloon valvuloplasty, Pulmonic stenosis, Ventricular septal defect. Correspondence to : Yoko FUJII (Department of Cardiology, Teaching Animal Hospital, Azabu University) Fuchinobe, Chuo-ku, Sagamihara, , Japan TEL FAX fujiiy@azabu-u.ac.jp J. Jpn. Vet. Med. Assoc.,, ( ) 517

8 The Bulletin of Meiji University of Integrative Medicine API II 61 ASO X 11 7 X-4 6 X m 5 X-2 4 X 3 9 X 11 7 API 0.84 ASO X 1 1 MR-angio

8 The Bulletin of Meiji University of Integrative Medicine API II 61 ASO X 11 7 X-4 6 X m 5 X-2 4 X 3 9 X 11 7 API 0.84 ASO X 1 1 MR-angio 7-14 2010 1 1 1 2 1 1 1 2 Fontaine II ASO61 3 API ASO ASO ASO API API KKKKKKKKKK ASO Fontaine II API Received April 14, 2009; Accepted July 16, 2009 I arteriosclerosis obliterans: ASO ASO 50 70 1,2 Fontaine