Blood Pressure Management Undergoing Surgery Through Invasive Arterial Blood Pressure Measurement in a Dog with Concomitant Aortic Stenosis and Left Ventricular Outflow Tract Obstruction

  • TAMURA Jun
    Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Hokkaido University, Hokkaido 060-0818, Japan
  • OYAMA Norihiko
    Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Hokkaido University, Hokkaido 060-0818, Japan
  • MIKI Shingo
    Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Hokkaido University, Hokkaido 060-0818, Japan
  • NAKAMURA Kensuke
    Laboratory of Veterinary Internal Medicine, Department of Clinical Sciences, Faculty of Veterinary Medicine, Hokkaido University, Hokkaido 060-0818, Japan
  • KINOSHITA Ryohei
    Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Hokkaido University, Hokkaido 060-0818, Japan
  • OKUMURA Masahiro
    Laboratory of Veterinary Surgery, Department of Clinical Sciences, Faculty of Veterinary Medicine, Hokkaido University, Hokkaido 060-0818, Japan

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  • 大動脈弁逆流と左室流出路狭窄が併発した犬に対して観血的動脈血圧測定を用い術中循環管理を実施した一例

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Abstract

<p>A 12-year-old mix-breed dog was presented with anal sac tumor and scheduled for left anal sacculectomy. Pre-operative echocardiography revealed that the dog had moderate aortic regurgitation (AR), mild mitral valve regurgitation, and dynamic left ventricular outflow tract obstruction. A hypotension of invasive arterial blood pressure (IABP) following low mean and diastolic blood pressure during surgery was suspected to be related to AR and treated by heart rate titration with atropine and dopamine infusion. Accurate blood pressure assessment with IABP and extrapolation treatment strategy of hypotension related to AR by human medicine are useful for anesthetic management in dogs with AR.</p>

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