Aortopulmonary window, left coronary artery aneurysm, and redundant aortic valve leaflet in a calf: the use of multimodal imaging to diagnose congenital heart disease

C Pelzek; H B Kellihan; N Sheehan; A Powers; S F Peek

doi:10.1016/j.jvc.2021.01.003

Aortopulmonary window, left coronary artery aneurysm, and redundant aortic valve leaflet in a calf: the use of multimodal imaging to diagnose congenital heart disease

J Vet Cardiol. 2021 Apr:34:48-54. doi: 10.1016/j.jvc.2021.01.003. Epub 2021 Jan 16.

Authors

C Pelzek¹, H B Kellihan², N Sheehan¹, A Powers¹, S F Peek¹

Affiliations

¹ University of Wisconsin Veterinary Medical Teaching Hospital, Madison, WI 53706, USA.
² University of Wisconsin Veterinary Medical Teaching Hospital, Madison, WI 53706, USA. Electronic address: heidi.kellihan@wisc.edu.

PMID: 33561812
DOI: 10.1016/j.jvc.2021.01.003

Abstract

A 2-month-old male Holstein calf was presented for evaluation of a continuous systolic murmur. A grade V/VI left basilar continuous murmur and a grade IV/VI right basilar continuous murmur was auscultated upon evaluation with increased respiratory effort, wheezes, and crackles. Multimodality diagnostics were performed on this patient for further workup and included transthoracic and transesophageal echocardiography, fluoroscopy guided angiography, and gross necropsy with histopathology. An aortopulmonary window with continuous left-to-right shunting was identified at the level of the left aortic sinus of Valsalva with a severely dilated left coronary artery and left-sided congestive heart failure. This case report outlines the diagnostic workup of a rare congenital heart defect and secondary cardiac abnormalities not previously identified in veterinary literature.

Keywords: Anomalous; Bovine; Cattle; Congenital; Fistula.

Publication types

Case Reports

MeSH terms

Aneurysm* / veterinary
Animals
Aortic Valve
Coronary Vessels
Heart Defects, Congenital* / diagnostic imaging
Heart Defects, Congenital* / veterinary
Male
Multimodal Imaging
Sinus of Valsalva*