Your Patient, Our Mission
We Offer Same Day Service
Three Hour Turn-Around Time
Ultravet Mobile is the leading provider of mobile ultrasound in the northeast. We offer 3 hour turn-around-time for our ultrasound diagnostic services, which will allow for immediate diagnosis and targeted treatment for your patients. We have a team of highly experienced ultrasound specialists on the road. Your scans will be read by our team of board-certified specialists. We typically can provide same day or next day appointments so your patients do not need to wait for a diagnosis.
We also offer STAT reads, at a nominal fee, for your critical patients, providing immediate results. One of our specialists will speak with you over the phone to discuss the case.
- Outstanding and reliable service
- Rapid turn-around-time
- Images read by board-certified specialists
July 2017 Case Of The Month
Chief Complaint: A 9 year old male Pug presented to UVM with a grade II/VI systolic heart murmur noted on examination for anesthetic clearance. The pet was asymptomatic.
Echocardiographic findings: There was evidence of severe hypertrophy of the proximal and mid-right ventricle with dilation of the RV outflow tract and main pulmonary artery. There was a distinct narrowing of muscular tissue in the mid-RV cavity. There was turbulent flow originating in the mid-RV cavity and extending into the RV outflow tract. The pulmonic valve did not appear thick or stenotic ruling out valvular pulmonic stenosis. There was evidence of moderate flattening of the ventricular septum with bowing into the LV cavity. There was a defect noted high in the ventricular septum between the aorta and RV outflow tract with left to right turbulent flow across the defect.
Assessment: Double chambered right ventricle with an outlet ventricular septal defect
Recommendations/Treatment: The pet was prescribed atenolol to help reduce the risk of ventricular arrhythmias and slightly alleviate the obstruction. These findings are consistent with a complex and rare congenital defect. Double chambered right ventricle (DCRV) occurs as a result of anomalous muscle bundles creating a ring in the mid-RV cavity and results in an obstruction to blood flow. This results in a high pressure and hypertrophied proximal chamber with a dilated and low pressure distal chamber. A malalignment ventricular septal defect (VSD) is also seen in a majority of cases of DCRV. The VSD in this patient was more distal in the outflow tract and adjacent to the pulmonic valve consistent with an outlet or supracristal VSD. Treatment options and intervention for these patients are limited. Balloon dilation of the thickened muscular tissue does not yield favorable results or an increased survival time. Surgical treatment entails resection of the anomalous muscle bundles which results in a reduction of the obstruction and improved survival. This procedure involves either total venous inflow occlusion or cardiopulmonary bypass. Medical therapy typically consists of beta-blocker therapy (ie: atenolol) to help reduce the risk of life-threating ventricular arrhythmias and improve myocardial relaxation. Patients with this condition may remain asymptomatic, as is seen in this case, however, right sided congestive heart failure with accumulation of pleural effusion may occur which necessitates treatment with diuretics and an ACE-inhibitor.
Below are links discussing double chambered right ventricle (DCRV):
Explore our previously-documented Cases of the Month by clicking the links below:
We are the longest standing mobile practice in New York.
Ultravet Mobile was started in 1989 by Dr. George Kramer. The business originally operated under the name “Ultravet Diagnostics” until April 2005 when it became designated as Ultravet Mobile and operations were moved from Mineola to Bohemia, NY. Ultravet Mobile continues to provide outstanding mobile ultrasound and consulting services to veterinarians in the New York metropolitan area.
Currently staffed by several board certified DVM’s and certified sonographers, Ultravet Mobile is the leader in the Northeast in providing mobile ultrasound and consulting services.