A combination of diagnostic modalities can accurately identify complex multiple congenital heart anomalies in foals antemortem.
May guide management in foals with complex congenital heart disease; leaves open generalizability and outcome impact beyond these cases.
Five Arabian or half-Arabian foals with suspected multiple cardiac anomalies were examined. Various combinations of clinical examination, electrocardiography, angiocardiography, cardiac catheterization, blood gas analysis, radiography, and echocardiography resulted in clinical data that allowed accurate antemortem diagnoses to be made. In 4 cases, the clinical diagnosis was substantiated by postmortem findings. The confirmed diagnoses were: pseudotruncus arteriosus, a combination of patent ductus arteriosus, pulmonic stenosis, and tricuspid stenosis, pentalogy of Fallot, and tricuspid atresia. The surviving horse was believed to have an interventricular septal defect and patent ductus arteriosus, or a persistent truncus arteriosus.
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Bayly et al. (1982) studied this question.
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