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A four-year-old male neutered mixed breed dog is presented with acute collapse and respiratory distress. The dog has a two-month history of coughing and progressive exercise intolerance.
Exam reveals pale mucous membranes with a prolonged capillary refill time. Pulse quality is poor and there is jugular distention with a jugular pulse. There is abdominal distention with a palpable fluid wave.
Echocardiogram identifies a mass of worms in the right atrium and caudal vena cava.
What is the treatment of choice?
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