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Thread: Right sided heart failure secondary to pulmonary stenosis

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    Default Re: Right sided heart failure secondary to pulmonary stenosis

    oh im sorry to hear this. i dont have any experience but just wanted to say i hope he will be ok.

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    Default Re: Right sided heart failure secondary to pulmonary stenosis

    Quote Originally Posted by kim n the guys View Post
    oh, geez, what meds did they give you for his heart failure? My two are not showing signs of heart failure yet, and they were both diagnosed with a grade 3 and I had echos done right away. Neither one of mine can have the surgery either Remy is almost one and Sebastian is almost 2 and neither one show any symptoms. They take 25 mg of Atenelol twice a day to help the blood flow through their hearts a little better. Luckily, I have Michigan State University 10 minutes from my home and that is where the boys see Dr. Sanders, their cardiologist. I would certainly find a way to get to a vet school closer than 14 hours. They are up on the latest techniques and meds and do have cheaper prices since they use it as a teaching opportunity for students. Remy just had to have his urethral prolapse fixed in June and the vet who did it had just published a new technique of fixing them and only charged me $100 to do it plus $150 for his neutering. Please let me know and sorry I can't be much help since I haven't experienced any heart failure symptoms yet.
    Kim maybe ask the staff at Michigan State if there is a good school for her that might be closer than UT?
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    Default Re: Right sided heart failure secondary to pulmonary stenosis

    Right now he's on:

    Lasix 25-50 mgs twice daily
    Spironolactone 25 mg twice daily
    Enalapril 10 mgs twice daily
    Vetmedin 7.5 mgs twice daily

    I've also been to OSU with another bully and had a similar experience as I did with UT. Spent thousands of dollars for a misdiagnosis. They were convinced he had cance or some fungal disease. After 11 days of delaying the exploratory - and running tests for all kinds of rare diseases, I took him to my hometown vet, who did the exploratory for more than half the cost that they quoted me. Long story short he had chronic stomach gastritis. Don't get me wrong, I'm grateful he didn't have cancer, but that was a very long 11 days and I felt horrible for putting him through all the testing (MRI, Spinal tap, CT, aspiration of organs, too many blood tests to count). This is why we drove 14 hours to UT. I've been told that Ohio State has a great vet program, but again, that's going to be another 14 hours or so. We're willing to make a drive, but if anyone knows of a place closer, I'm open to suggestions!

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    Default Re: Right sided heart failure secondary to pulmonary stenosis

    Quote Originally Posted by 2BullyMama View Post
    Kim maybe ask the staff at Michigan State if there is a good school for her that might be closer than UT?

    I'll email Dr. Sanders and see what he recommends! I wish they lived a little closer so they could bring Winston up here!!!
    Kim, Lord Sebastian, Sir Oliver, Remy Le Beau, and Gracie Lou <3

  5. #17
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    Default Re: Right sided heart failure secondary to pulmonary stenosis

    After doing some research, I found a specialist that deals with pulmonic stenosis - Texas A&M. It's about 8.5 hours from us, but it's closer than TN! I had my vet consult and review the information I got from the group in KC. Basically, they said that there is no way they could give such a finite diagnosis as they did not run the correct tests. I have an appointment with them on Oct 8th. I had also contacted the specialist at UT I saw for my other bulldog - he forwarded the info to a cardiologist there... this is what the cardiologist said...

    The workup is not complete, in my opinion. Despite the images being reviewed by a cardiologist, there is no severity of the pulmonic stenosis documented. This leaves open to question whether the right sided congestive heart failure is more due to the pulmonic stenosis or more due to the tricuspic regurgitation they commented on. With pulmonic stenosis, it would be more difficult to rule out pulmonary hypertension, but possible with a little mathematical gymnastics if they got a velocity on the tricuspid regurgitation (not documented).
    The comment that bulldogs cannot undergo valvuloplasty for pulmonic stenosis is premature without an agiogram to confirm an aberrant coronary artery. Some bulldogs don't have coronary artery anomalies and can therefore be ballooned like any other dog.
    In reality, since the dog is in right sided congestive heart failureit's late in the game. An angiogram might prove an aberrant right coronary artery, making valvuloplasty contrainidcated. but even if you could try valvuloplasty, it might not prolong life for very long at this stage of the game, especially if the tricuspid regurgitation is severe.

    Bottom line: Winston should have seen a real cardiologist.

    If anyone is close to UT, I highly recommend them. They have helped me so much with consults from a distance. I wish myself and Winston was well enough to make the trip, but unfortunately, we cannot, so Texas A&M will have to do. I'm hopeful though. While there may not be a surgery to "correct" his issues or fix him, I want to make sure he has the best care.

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    Default Re: Right sided heart failure secondary to pulmonary stenosis

    I am so sorry to hear this, but the vets at Texas A&M are just great. Give your big boy a hug from us and we will keep him in our prayers,
    Have a Great Bully Day.
    Member of The Bulldog Club of America, The Bulldog Club of Texas and French Bulldog Club of America.
    Bully hugs from - BeBe, Hazel, Lucy Lu, JLO, Hillary, Henri & Katie


  7. #19
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    Default Re: Right sided heart failure secondary to pulmonary stenosis

    so glad you found a specialist. Remy and Sebastian both had the angiogram done and Remy's coronary arteries were very close to being in the normal position but not close enough for the valvuloplasty, Sebastian's coronary arteries are so far out of place it might as well have it's own zipcode!
    Kim, Lord Sebastian, Sir Oliver, Remy Le Beau, and Gracie Lou <3

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    Default Re: Right sided heart failure secondary to pulmonary stenosis

    So we took Winston to Texas A&M, which is a wonderful facility, and got even more bad news. Not only does he have pulmonary stenosis, but his coronary artery is wrapped around the pulmonary artery AND they found a mass in his chest that is resting on his heart. They are afraid to do any testing that requires anesthesia as they think there is a strong chance he would not survive it. At this point, we can only manage his condition with meds. This just hit us so hard as he's only 4 years old. Winston is our first bully and was the reason I got involved with rescue and research for the breed. He has taught us so much and has given us more than we could ever give him. I don't know if it's possible for us to spoil him more than he already is, but we're sure going to try. I dread the day he leaves us.

  9. #21
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    Default Re: Right sided heart failure secondary to pulmonary stenosis

    Oh no.....I'm so sorry to hear this news. I can't imagine having to go through that. They're our baby's. Prayers for strength are being sent to you and your family. I hope he isn't in pain. :crying:
    I'm sure that you are. So sad
    Life is like a box of chocolate covered

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    Default Re: Right sided heart failure secondary to pulmonary stenosis

    I'm so very sorry to read this. Poor Winston and poor you :'( Positive vibes your way.

  11. #23
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    Default Re: Right sided heart failure secondary to pulmonary stenosis

    I'm so sorry about Winston. Please know that we are all here for you and your family!!!
    Kim, Lord Sebastian, Sir Oliver, Remy Le Beau, and Gracie Lou <3

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    I'm so very sorry. Winston is a lucky guy to have you loving him. We learn so much from these special babies and he will teach you even now. Loving him will be the easy part. Keep us informed and I will keep him close..

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