{"title":"Prevalence of left heart contrast with agitated saline contrast echocardiography in healthy resting dogs","authors":"S. Lee , M.D. Kittleson","doi":"10.1016/j.jvc.2025.10.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction/Objectives</h3><div>Agitated saline contrast echocardiography (ASCE) has traditionally been used to identify the presence of right-to-left intracardiac shunts in dogs. In normal humans, contrast (microbubbles) commonly appears in the left heart following agitated saline contrast injection into a systemic vein via intrapulmonary (IP) shunting. The aim of this study was to determine whether this phenomenon also occurs in dogs.</div></div><div><h3>Animals, Materials, and Methods</h3><div>Forty-eight dogs with either a normal echocardiogram or trivial to mild mitral regurgitation were studied. A standard ASCE protocol was used, with each dog lying in right lateral recumbency.</div></div><div><h3>Results</h3><div>Left heart contrast was identified in 37 dogs (77%).</div></div><div><h3>Study Limitations</h3><div>Agitated saline contrast echocardiography was performed only once per dog and under a single condition, and intra-operator and interoperator variability was not assessed. Echocardiography alone cannot completely exclude patent foramen ovale, and stress in the hospital environment may have influenced shunting.</div></div><div><h3>Conclusions</h3><div>Left heart contrast following ASCE is common in dogs without a right-to-left shunting intracardiac defect. This presumably occurs via intrapulmonary arteriovenous anastomoses.</div></div>","PeriodicalId":48788,"journal":{"name":"Journal of Veterinary Cardiology","volume":"63 ","pages":"Pages 28-35"},"PeriodicalIF":1.5000,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Veterinary Cardiology","FirstCategoryId":"97","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1760273425001080","RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/10/13 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"VETERINARY SCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction/Objectives
Agitated saline contrast echocardiography (ASCE) has traditionally been used to identify the presence of right-to-left intracardiac shunts in dogs. In normal humans, contrast (microbubbles) commonly appears in the left heart following agitated saline contrast injection into a systemic vein via intrapulmonary (IP) shunting. The aim of this study was to determine whether this phenomenon also occurs in dogs.
Animals, Materials, and Methods
Forty-eight dogs with either a normal echocardiogram or trivial to mild mitral regurgitation were studied. A standard ASCE protocol was used, with each dog lying in right lateral recumbency.
Results
Left heart contrast was identified in 37 dogs (77%).
Study Limitations
Agitated saline contrast echocardiography was performed only once per dog and under a single condition, and intra-operator and interoperator variability was not assessed. Echocardiography alone cannot completely exclude patent foramen ovale, and stress in the hospital environment may have influenced shunting.
Conclusions
Left heart contrast following ASCE is common in dogs without a right-to-left shunting intracardiac defect. This presumably occurs via intrapulmonary arteriovenous anastomoses.
期刊介绍:
The mission of the Journal of Veterinary Cardiology is to publish peer-reviewed reports of the highest quality that promote greater understanding of cardiovascular disease, and enhance the health and well being of animals and humans. The Journal of Veterinary Cardiology publishes original contributions involving research and clinical practice that include prospective and retrospective studies, clinical trials, epidemiology, observational studies, and advances in applied and basic research.
The Journal invites submission of original manuscripts. Specific content areas of interest include heart failure, arrhythmias, congenital heart disease, cardiovascular medicine, surgery, hypertension, health outcomes research, diagnostic imaging, interventional techniques, genetics, molecular cardiology, and cardiovascular pathology, pharmacology, and toxicology.