Meet Quey. This little man had a surgery for PDA (patent ductus arteriosus) a month ago (September, 2014, elsewhere) that unfortunately was not successful.
   Quey presented for surgery yesterday [Oct. 16, 2014] for a second attempt, which is a very risky procedure due to adhesions and risk for fatal hemorrhage. True to that risk, surgery was very difficult. The cranial portion of the cranial left lung lobe was adhered to the body wall and heart and was so fragile it crumbled with manipulation and was removed. The caudal portion likewise was adhered but was left in place obscuring half the thorax and the heart.
   With PDA surgery, the largest risk is for fatal hemorrhage from the fragile ductus, but on a 2nd surgery this risk is much higher. For little Quey, we were within a hair's breadth of successfully passing a clamp around the duct when it ruptured. Though this is usually fatal and results in rapid massive bloodloss, we were able to clamp off along the pulmonary artery and aorta and stop the hemorrhage. With conversion to an alternate technique dropping a loop of suture around the aorta, a 2nd massive rupture developed and for the second time l truly thought that was the end.
   Miraculously with clamping a portion of the pulmonary artery and a thank you to the fates, we were able to once again stop the hemorrhage. The anesthesia service were rock stars, as was my assistant in the face of that much stress and how difficult the surgery was, but l am absolutely delighted to report that Quey miraculously survived. Special thanks to the critical care and emergency services post op. We needed packed red blood cells and 2 rounds of plasma, but today Quey is recovering and looking good!
   Quey must have had two angels on his shoulder. Northcentral Maltese Rescue has been hit hard recently with multiple PDA surgeries, liver shunt surgeries and eye surgeries for their rescues and would welcome and appreciate any support. They are very caring and have rescued numerous dogs over the years. 
-Dr. Connie Hurley, DVM, DACVS

Update: Quey continues to have a grade 2 heart murmur and the doctors are uncertain why. However, he has been adopted to a family that is well aware of this and still wanted to give him a permanent home and love for the rest of his life.

July, 2015: It's Quey's 6 month anniversary adoption day. He is such a love and very smart! He comes well, can do sit, down, stay, sit pretty and shake. He also is an awesome searcher in nosework. I just introduced the primary odor (after training w food only searches) and he had it in 10 minutes! He and Maisie play hard. He likes to drag her by the ear or tail until she's had enough. smile emoticon He and Dublin have bark fests outside multiple times daily. He's being followed by cardiology every 6 months with an echocardiogram which is next month. He is just a very happy boy and we are grateful he's part of our family. I think he's finally gaining a little weight too. He was last at 4.7 pounds. He's doing awesome!!! Oh, and essentially completely potty trained now. Still likes to eat poo though so that makes me keep up with the pick up. 

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