80 (1) pp 49-54

Title: 
Severe aortic regurgitation due to endocarditis in a horse
Author(s): 
T. AFONSO, T. VERHEYEN, V. SAEY, S. U. SYS, G. VAN LOON
Abstract: 

A 4-year-old Belgian Warmblood mare was presented because of fever, exercise intolerance, aloud diastolic cardiac murmur and a remarkable bounding pulsation that was palpable all over thebody. This bounding pulsation appeared simultaneous with the cardiac contractions. Cardiacultrasound revealed a vegetation on the aortic valve with severe aortic regurgitation and a secondvegetation at the sinus of Valsalva. A reverse flow in the common carotid artery was present duringdiastole. Left heart catheterization showed left ventricular and aortic pressure curves characteristicof a rather acute development of the lesion. The strong bounding pulsation was caused by severeaortic regurgitation that resulted in a very wide pulse pressure with the occurrence of “Watson’swater hammer pulse”. Due to the grave prognosis, treatment was not attempted. Necropsy confirmedaortic valve endocarditis.

Full text: 
pp 49-54
Case report(s)