{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T13:15:52Z","timestamp":1774271752341,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Medicine &amp;amp; Sci"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe successful management of a coagulopathy secondary to cardiopulmonary arrest (CPA) associated with pulmonary balloon valvuloplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Summary<\/jats:title>\n                    <jats:p>An 8\u2010month\u2010old male intact Chihuahua mix presented for a pulmonary balloon valvuloplasty. Echocardiogram showed severe valvular pulmonic stenosis with a pulmonic valve maximum pressure gradient (PV max \u0394P) of 108.2\u00a0mmHg (PV max \u0394P &gt;20\u00a0mmHg is considered abnormal). Near the end of the procedure, after the balloon deflation, the patient experienced prolonged periods of sinus arrest with associated ventricular escape rhythm. This was followed by complete sinus arrest and asystole. Cardiopulmonary resuscitation (CPR) was initiated. After four CPR cycles, return of spontaneous circulation was achieved. The patient continued to have hypotension despite fluid resuscitation, requiring vasopressor therapy. Hemorrhagic abdominal effusion was identified. Coagulopathy was confirmed via prolonged blood clotting times and thrombocytopenia. Treatment was comprehensive, including transfusions of whole blood, packed red blood cells and fresh frozen plasma. During 4\u00a0days of postoperative hospitalisation, the patient showed improvement and was discharged. Upon rechecking 13 and 227\u00a0days after discharge, a repeated echocardiogram showed a &gt;50% improvement of the PV max \u0394P measured at 40 and 38.5\u00a0mmHg, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>New or Unique Information Provided<\/jats:title>\n                    <jats:p>This is the first published veterinary case report describing the recognition and successful treatment of a consumptive coagulopathy and presumptive disseminated intravascular coagulation (DIC) following CPA during a balloon valvuloplasty procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/vms3.70445","type":"journal-article","created":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T09:09:27Z","timestamp":1748855367000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Coagulopathy as a Complication of Cardiopulmonary Arrest Following Balloon Valvuloplasty in a Dog"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-0815-5274","authenticated-orcid":false,"given":"Marissa A.","family":"Turner","sequence":"first","affiliation":[{"name":"Emergency and Critical Care Department Ocean State Veterinary Specialists  East Greenwich Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theresa C.","family":"Hallowell","sequence":"additional","affiliation":[{"name":"Emergency and Critical Care Department Ocean State Veterinary Specialists  East Greenwich Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,2]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.116.004481"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8588(02)00102-8"},{"key":"e_1_2_10_4_1","volume-title":"Veterinary Echocardiography","author":"Boon J. A.","year":"2011"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939-1676.2001.tb01590.x"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/10760296231221986"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jth.14480"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/vec.12777"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fvets.2024.1375507"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03022251"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/1746\u20106148\u20109\u201043"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939-1676.2004.tb02602.x"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.5114\/aoms.2013.39235"},{"key":"e_1_2_10_14_1","first-page":"53","article-title":"Prevalence of Major Complications in Interventional Cardiology in 336 Dogs","volume":"24","author":"Leblanc N. L.","year":"2019","journal-title":"Journal of Veterinary Cardiology"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/17474086.2018.1500173"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102141.2009.07600"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0263948"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/vms3.1391"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1076029618806424"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540\u20108167.2005.40800.x"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.3389\/fvets.2023.1118798"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsap.13349"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsap.12182"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/heart.90.1.70"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1616068"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.3389\/fvets.2021.788226"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.eurheartj.a059478"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2011.02.034"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tvjl.2009.06.003"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.17615\/ntag\u20109429"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/avj.12746"}],"container-title":["Veterinary Medicine and Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/vms3.70445","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/vms3.70445","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/vms3.70445","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T12:21:09Z","timestamp":1774268469000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/vms3.70445"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,2]]},"references-count":30,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1002\/vms3.70445"],"URL":"https:\/\/doi.org\/10.1002\/vms3.70445","archive":["Portico"],"relation":{},"ISSN":["2053-1095","2053-1095"],"issn-type":[{"value":"2053-1095","type":"print"},{"value":"2053-1095","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,2]]},"assertion":[{"value":"2025-01-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70445"}}