"Tiny Bubbles" & veterinary medicine from the inside out:
Reverse PDA & Reverse VSD evidenced by a bubble study comprises the July, 2011 SonoPath case of the month. The patient was referred by Penninsula VH & imaging performed by English Bay Ultrasound Service; Doug Casey DVM, DABVP, Vancouver, B.C. Canada. Interpretation & support by Lindquist & Modler of SonoPath.com
Sonogram: Fadara examined at Penninsula VH. Imaging performed by English Bay Ultrasound Service; Doug Casey DVM, DABVP, Vancouver, B.C. Canada.
History: A 6-year-old FS Shiht-Zu Dog presented for exercise intolerance and cyanosis under stress. The clinical exam was otherwise unremarkable. A slight right and left sided murmur was auscultated. Right sided cardiomegaly was noted on radiographs.