Your data on MRCVSonline
The nature of the services provided by Vision Media means that we might obtain certain information about you.
Please read our Data Protection and Privacy Policy for details.

In addition, (with your consent) some parts of our website may store a 'cookie' in your browser for the purposes of
functionality or performance monitoring.
Click here to manage your settings.
If you would like to forward this story on to a friend, simply fill in the form below and click send.

Your friend's email:
Your email:
Your name:
 
 
Send Cancel

Puppy undergoes world-first combination surgery
Eleven-month-old Lottie was found to have a very loud heart murmur during a routine check-up at her local vets.

Eleven-year-old Lottie was born with several heart defects 

The Royal Veterinary College (RVC) has carried out a world-first combination surgery to repair a complex combination of heart defects in a dog.

Eleven-month-old labrador Lottie was found to have a very loud heart murmur during a routine check-up at her local vets. An ultrasound revealed that she had several congenital heart defects. Two were a malformation of her tricuspid valve and the other was a large defect of the common atrium.

Lottie was referred to the RVC’s cardiothoracic department for further analysis. Led by small animal surgeon professor Dan Brockman, the team is renowned for its cutting-edge surgeries, including a world-first treatment to save a dog with a malformed tricuspid valve.

Repair of the tricuspid valve has only been performed a few times and has never been carried out at the same time as the repair of a common atrium. Lottie’s owners decided to proceed with surgery to improve her quality of life.

The operation took place in July and Lottie has her heart stopped to perform the surgery. Circulation to the rest of the body was maintained with the use of a heart-lung machine operated by a perfusionist from Great Ormand Street Hospital.

Poppy Bristow, fellow in cardiothoracic surgery at the RVC, said: “Altogether 10 people were involved in her operation and many more for her care before and after surgery, including veterinary specialists, veterinary nurses and veterinary specialists-in-training from surgery, cardiology, anaesthesia and emergency and critical care, as well as Lottie’s referring cardiologist and her local veterinary practice.
 
“Lottie’s heart was stopped for an hour and a half, with the whole operation taking four hours. Her malformed tricuspid valve was released by cutting its abnormal attachments and artificial chords using Gore-Tex material were placed.

“Her single atrium was then divided into two using a large patch of Gore-Tex. Lottie has made a good recovery so far and was walking around and eating from the day after her surgery. She was discharged back to her owners after six days and has continued to thrive at home.”
 
Professor Brockman added: “In Lottie, we had a young energetic dog with such a serious and life-limiting heart condition, that we were desperate to try and help her. The repair was complex but incorporated a combination of surgical manoeuvres that we had done before.

“With careful pre-operative planning and using our previous experience, we were able to design and execute the surgical treatment. It is still ‘early days’ but the initial signs suggest that Lottie is going to enjoy an excellent quality of life, following this operation and, we all hope, a normal lifespan.”

Image (C) RVC

Become a member or log in to add this story to your CPD history

Free bloat webinar planned for dog owners

News Story 1
 The Kennel Club is inviting dog owners to attend a free webinar on gastric dilation-volvulus syndrome, also known as bloat.

Part of its health webinar series, the session will take place from 7pm to 8pm on 12 November. It will explore what scientific research has revealed about causes, symptoms, breed susceptibilities, diagnostic approaches, and treatment options, as well as looking at what future research could uncover.

The talk will be hosted by Mark Dunning, professor of small animal internal medicine at the University of Nottingham, and will include a 30-minute Q&A session.

Places can be booked here

Click here for more...
News Shorts
FIVP to represent independent practices at London Vet Show

The Federation of Independent Veterinary Practices (FIVP) will be at stand (S05) at this year's London Vet Show.

The not-for-profit organisation will be explaining how its expertise and resources can help independent practices to thrive in a competitive industry. It will also share how it has been representing independent practices in the ongoing CMA investigation.

On Thursday, FIVP member Steve Carter will be available to discuss how veterinary surgeons and nurses can pursue practice ownership.

FIVP will also be offering independent practices three months of free membership if they sign up at the stand.

Rita Dingwall, FIVP business development manager, said: "It's a wonderful opportunity to discuss our representation in the CMA enquiry and connect with like-minded individuals who share our passion for independent practice."