Page 14 - eclipse - Autumn 2018

CLINICAL NEWS
Sign up to Clinical Connections
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 RVC Clinical Services.
We feature articles from:
• RVC Small Animal Referrals from the Queen Mother Animal Hospital
• RVC Exotic Referrals from the Beaumont Sainsbury Animal Hospital
• RVC Equine
• RVC 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.
How many issues are there annually?
It comes out three times a year: spring, summer and autumn/winter.
Can I access back issues?
Yes. All previous issues, right back to 2014, are available on our online archive as PDF downloads.
How do I sign up to receive future copies?
You can be one of the first to access the online newsletters by signing up to our email alert or requesting a postal version at rvc.ac.uk/veterinary-services/clinical- connections-e-subscription
Can my associates and colleagues receive a copy?
We would love to send your colleagues their own personal copy so please ask them to sign up so we can include them too.
CLINICAL CONNECTIONS RVC Clinical Services Newsletter Autumn 2018
WORLD-FIRST HEART SURGERY
TCOMBINATION SAVES PUPPY he RVC’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 RVC 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
RVC EQUINE SPORTS MEDICINE SERVICES
RVC_Autumn_2018 CC_V6 FINAL FOR PRINT.indd 1
31/10/2018 13:31:41
14