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Direct LV puncture through the LV apex via the fifth intercostal space using echo-guided needle positioning is applied for transapical aortic valve replacement. This method carries significant risk of bleeding and potential coronary artery damage.
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Jonathan A. Lidbury. BVMS, MRCVS, PhD, DACVIM, DECVIM-CA. Hepatobiliary disease is an important cause of morbidity and mortality in dogs and cats and can present a diagnostic challenge for two main reasons. First, patient signalment varies because liver disease and dysfunction can occur in cats and dogs of any age, sex, or breed (see Case Studies).
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