Is treatment relatively the same for every dog that gets heartworm disease? - Animal Hospital of Statesville
In the cases of advanced heartworm stages, where the dog is in heart failure or has portacaval syndrome, a terrible complication dogs can get with heartworms; we treat those dogs differently. They need to have their heart failure treated, and sometimes, they require surgical removal of those worms, and it carries a very poor prognosis.
Contributed by Ashly LaRoche DVM
from Animal Hospital of Statesville


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