Flat-Coated Retriever Mix
My 70lb retriever mix went to ER on Sunday. Pericardial effusion, and idiopathic effusion. No masses found. The sac was drained. All tests came back negative for cancer, however blood was found in the fluid. No abdominal ultrasounds or x-rays were done. He's home now and recovering. Follow up with vet 2 days later: did tri-view chest x-rays, which showed some fluid on the left front of his heart. The ER notes don't mention that they didn't retrieve all the fluid at that time. Vitals are still good, however, he is not energetic & has difficulty getting his back lets to want to work. Meaning getting up from a laying position is difficult. He walks ok, once he's standing. This is new since the ER. There is normal evacuation and voiding, though, just no stamina and increased difficulty in getting up. He was a very "peppy" dog only a few hours before the "attack", so, this is dis-heartening.
The most common cause of pericardial effusion is due to cancer, but if no masses were detected then possible causes may include infections or inflammation; physical drainage or identification and treatment of the underlying cause are common methods of management. However, in idiopathic cases where a cause cannot be determined a pericardial window may be performed to allow drainage of fluid into the thoracic cavity. I cannot comment or think of a reason why Harley is having trouble getting up, but should be evaluated again by your Veterinarian to monitor progress. Regards Dr Callum Turner DVM
Nov. 30, 2017
I'm feeling like a nervous, first-time mom ! At age 10, before this event, he was in very good health (well, APPEARED and acted in very good health), would the window be a viable thing to do? I realize with older people, sedation, trauma, etc, cause a slow recuperation. Am I just "rushing" his recovery time?
Nov. 30, 2017
Harley's Owner
Oh, and the echo-cardiogram at the ER was good. Blood counts good, glucose, etc, good.
Nov. 30, 2017
Harley's Owner
Thank you. Could there have been damage to the heart from this event? In the diagnosis from ER (he stayed one night there), tamponade (?) was a word that was used. All ultra sounds, fluid evaluation, and x-ray showed no obvious cancer. Once he gets himself up, he's good to walk. He wants to get excited about play with a ball, but, has energy to get to it & then fast walk once around the sofa, then lays down again (keeping the ball, lol). If he lays down for any length of time, getting up is especially slow. All new. Would an abdominal x-ray be worthwhile? That would then mean that his entire body would have been imaged. I am leaning toward the window idea. My vet is talking to a surgeon about it. If he's cancer-free, I'm hoping that would help his heart function immensely and also get the rest of him "moving" again. By the way, appetite still very good and digestion good - void & evacuation good.
Nov. 30, 2017
Harley's Owner
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