Since Navy has caval syndrome, he must undergo surgery to remove the adult worms. Worm removal is the only treatment option for a dog with caval syndrome. The adult worms are removed via jugular venotomy, as seen in the images and video below!
Flexible alligator forceps are used to remove the worms from the right heart and pulmonary artery.
The forceps are inserted through the jugular vein to remove adult worms under fluroscopic examination.
80 worms were removed from Navy!
Here are Navy's Pre- and Post-surgical urine samples:
Click the play button below to watch a video of Navy's heartworm removal.