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Constrictive Pericarditis
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11 June 2012
11:03 pm
Oakland, CA
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Forum Posts: 137
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30 April 2012
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Are any vets out there able to give me any info. on this condition?  During Holly's cardio screening prior to starting doxorubicin, the cardiologist saw an abnormality.  A further workup, including an echocardiogram and chest x-rays, by the cardiologist didn't show any structural or functional heart abnormalities.  They narrowed the possibilities down to a blood clot or constrictive pericarditis.  The blood clot seemed like a good possibility, especially since she has been having some occasional unexplained pain.  However, the D-dimers test came back negative, so although we're told it's not definitive, it is now less likely that it is a clot.

It sounds like the cause of the pericarditis has a lot to do with the prognosis, and we don't know the cause (if it is this condition).  We've been told there is a tiny chance that the cancer could have metastasized to the pericardium, but this has never been reported in a dog with osteosarcoma.

I feel pretty much in the dark here - there isn't a whole lot of information out there about this...we don't want to put her through invasive testing so it sounds like there isn't a good way to know the cause.  Without knowing that, is there anything that anyone can tell me about what we might expect or what we can do to help her?

Thanks for any help!

 

Alex & Holly

12 June 2012
7:04 pm

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I have heard of restrictive pericarditis. Is there a fluid buildup around the heart?  How is the contractility?  I have not heard of this secondary to OSA.

Pam

12 June 2012
10:28 pm
Oakland, CA
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Forum Posts: 137
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30 April 2012
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Based on what they see, there isn't any fluid buildup around the heart.  As it's been explained to me, this has basically been a process of elimination - since they don't see anything else but the heartbeat is weird, this is one of the main possibilities...and I guess that's good, because if it is this, it's pretty early on?  I think that the contractility is the abnormality that he saw - it wasn't contracting all the way?  OR it wasn't expanding all the way?  One or the other...I guess those might indicate two completely different things....

Clearly I'm pretty confused...I thought I had asked all of the questions, but now when I go back over it, I feel like I have no idea what's going on. way-confused

 

Thank you!

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