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Small Animal Radiology and Ultrasound: A Diagnostic Atlas and Text

Small Animal Radiology and Ultrasound: A Diagnostic Atlas and Text

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Chapter Two The Thorax 59<br />

Fig. 2-31 A left parasternal longaxis<br />

four-chamber (inflow) view<br />

reveals left ventricle (lv), left atrium<br />

(la), atrial septum (as), right atrium<br />

(ra), <strong>and</strong> right ventricle (rv).<br />

Diagnosis: Normal heart.<br />

Fig. 2-32 A left parasternal long-axis five-chamber<br />

(left ventricular outflow) view reveals the left<br />

ventricle (lv), left atrium (la), aorta (ao), right<br />

atrium (ra), <strong>and</strong> right ventricle (rv). Diagnosis:<br />

Normal heart.<br />

view is preferable. 25,67 The sample volume is placed in the middle of the aorta at the distal<br />

end of the aortic bulb. Normal studies reveal a rapid laminar acceleration phase<br />

(downstroke) followed by the deceleration phase (upstroke) (Fig. 2-37). A second, much<br />

smaller wave may be seen immediately after the dominant signal, which represents early<br />

diastolic flow. 25,67<br />

C AU DA L V E N A C AVA<br />

The caudal vena cava may be traced from the diaphragm to the point where it enters the<br />

right atrium cranial to the caudal margin of the cardiac silhouette. On the lateral radiograph,<br />

the caudal vena cava, located at about the midpoint of the thoracic height, tapers<br />

<strong>and</strong> slopes slightly downward from the diaphragm to the cardiac silhouette. The size of the<br />

caudal vena cava changes with respiration <strong>and</strong> phase of the cardiac cycle. It is wider <strong>and</strong>

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