Queen Mother Hospital for Small Animals, RVC

Hawkshead Ln, Brookmans Park, Hatfield AL9 7TA, UK
Website: QMHSA
Email: qmhaheartsurgery@rvc.ac.uk
Phone: +44-1707-666-366 or +44-1707-666-399

Dr. Dan Brockman (Repair Surgeon) and team with their recovered patient JoJo.

Dr. Dan Brockman (Repair Surgeon) and team with their recovered patient JoJo.


RVC Mitral Valve Repair Surgery Overview

Mitral valve repair surgery is performed by Dr. Daniel Brockman (Professor of Small Animal Surgery) at the Hawkshead campus of the Royal Veterinary College.

To secure a surgical date, contact the RVC team at,

qmhaheartsurgery@rvc.ac.uk

The team will request the complete medical records of your dog to assess the prospects of surgery. Please include the following information when contacting the RVC:

(preferably from your cardiologist directly),

  • Echocardiogram scans, images and videos

  • Cardiologist Echo reports

  • Full medical history from your primary care veterinarian, We prefer them to submit the records to us. If they can’t (please include their name, contact details and email address)

  • Results of any recent blood work

  • Copies of any radio-graphs (X-Rays)

  • A full list of current medication and doses

  • A table of resting respiratory rate (please count the number of breaths per minute when your dog is fully asleep - usually evenings)

  • Let us know if your dog ever received a blood transfusion?

  • Blood Type (used to schedule your pup for surgery, they need to secure blood in advance for surgery and recovery)

It’s best to aggregate all of the records in a shared folder using a file hosting service such as WeTransfer, Dropbox or Google Drive.

 ***They will not be able to respond to any new requests until they have all this information due to the high demand***

Potential surgical risks
, (per the RVC):

There are three main big hurdles to recovering from heart surgery. The first hurdle is waking up from surgery and risks include failure of the heart to restart, bleeding, lung/kidney/gastrointestinal problems from the process of the heart lung machine and blood clots. Heart rhythm abnormalities are also a risk in the short and longer term, though usually this can be managed with medication.

Blood clots are a risk in the short and medium term whilst the artificial chords and sutures are becoming covered with the body’s own tissue. The second hurdle is the first night of surgery whilst the body is adjusting to the process and the repair.

The third hurdle is assessing the repair in the medium term to analyse how well the valve is now functioning and to ensure no clots or infections are forming on it. Depending on your dog's age at the time of surgery, and degree of disease it is possible as this is a degenerative condition that further heart medications may be needed again in the future.

If all goes well dogs should be living a longer and better quality of life than they would otherwise have been without surgical intervention.


Costs & payment instructions 

Please contact the RVC for the most up-to-date information on pricing and payment procedures.

qmhaheartsurgery@rvc.ac.uk

Current costs for surgery according to the clinic as of 7/21/22 is 17,500 Euros (currency exchange rate “USD”) subject to change, plus travel costs. Estimations are close to 22-23K (USD) barring no other added expenses like longer hospital stays, medications and pre and post op follow up costs.

The recommended stay in the UK is 3 weeks. Surgeries are typically performed on Mondays, every other week. You will be scheduled for a pre-op exam on the Thursday or Friday the week prior. The post-surgery recovery can last between 7-10 days. Your dog will spend the first 3-5 days after the surgery at the ICU; Your dog will then be transferred to the main hospitals ward for further recovery and observation. The ICU staff will closely monitor your dog during their entire stay at the hospital for signs of infections, inflammation or other postoperative possible complications.

At the end of the 7-10 day recovery period, your dog will be discharged. It is recommended that you plan to stay another 5-7 days after the discharge for at least one follow up visit before your dog is cleared to fly back home.

The RVC heart surgery team will perform echocardiograms to determine the success of the mitral valve repair, analyze residual regurgitation and the effect of the surgery on the size of the heart.


Airline Travel Procedures for US-Based Dogs

The best way to travel is to fly your dog into the London Heathrow Airport, “The Gatwick and Luton airports do not accept dogs at their terminals”.

“We recommend flying with a direct US based airline, not sponsored by any British Airlines as they don’t seem to be as animal friendly on all flights, so fly American Airlines, United Airlines or Delta directly”

Airline Details:

American Airlines:

Flying with a service animal

Fully-trained service dogs may fly in the cabin at no charge if they meet the requirements.

A service animal is defined as a dog that’s individually trained to do work or perform tasks for the benefit of a qualified individual with a disability, including a physical, sensory, psychiatric, intellectual, or other mental disability, including but not limited to:

  • Visual impairments

  • Deafness

  • Seizures

  • Mobility impairments

  • Post-traumatic stress disorder

”Please note, service animals in training, emotional support animals, and comfort animals may travel as pets, not as service animals. All requirements and applicable fees will apply”.

Forms and advanced notice

To travel with a service animal on flights operated by American, you must submit the U.S. Department of Transportation (DOT) Service Animal Air Transportation Form attesting to the animal’s health, training, and behavior to the Special Assistance Desk at least 48 hours before your flight. We’ll notify you upon document approval.

You can complete the form at the airport if you bought your ticket within 48 hours before the flight. Be sure to arrive early.

DOT Service Animal Air Transportation Form (PDF) Opens a PDF form in a new window.

“If your trip includes a flight on a partner airline you’ll need to contact them and complete all required forms for traveling with a service animal”.

Flights over 8 hours

If you have a flight over 8 hours in your itinerary, the Department of Transportation Service Animal Relief Attestation Sanitation Form is also required stating your animal won’t need to relieve itself or can do so in a way that doesn’t create a health or sanitation issue.

DOT Service Animal Relief Attestation Form (PDF) Opens in a new window

Service Animal ID

Once you’ve submitted your form and it’s been approved, we’ll send you an email with your Service Animal ID (SVAN ID). You can add the SVAN ID when booking future travel with this animal and be approved without re-submitting forms. Keep in mind, your SVAN ID will expire after 1 year from the date of signature or when the animal’s vaccination expires, whichever is first.

Visit American Airlines website for further information HERE


The following procedures below are instructions on how to fly with your dog in the cabin to the London Heathrow Airport.

Step 1: Microchipping

If your dog isn’t microchipped your dog should be implanted with an ISO compliant (11784 and 11785) microchip, ISO compliant microchips are 15 digits long.

Older chips can be read by universal chips readers at the airport; so I would highly recommend not to re-chip your dog. If your dog does have two chips already the number and implant dates of both microchips must be documented on the

USDA Form

Step 2: Rabies vaccination

The rabies vaccination must occur AFTER the microchip implantation. It may be administered the same day as the microchip implantation but any rabies vaccination before a microchip is implanted is invalid.

The number and implantation dates of both microchips must be documented on the USDA form and at least one of these microchips must have been implanted before your pet’s most recent rabies vaccine.

Vaccinations valid for 1 year are acceptable. 2 or 3-year re-vaccinations are only acceptable if you can document previous vaccinations and all re-vaccinations since then. If the current vaccine is older than 1 year and you cannot document the entire history of rabies vaccinations, you will have to re-vaccinate before the UK trip and ideally, before getting the USDA forms, “If the rabies vaccination is new, you must wait 21 days before entering the UK

Step 3: EU Health Certificate

Have a USDA accredited veterinarian perform an exam and prepare the USDA form exactly ten (10) days before your arrival into the UK. Make sure that your veterinarian includes the name of the rabies vaccination product on the form. Have your vet make two copies of the form if your sending it overnight to the USDA office, just in case it gets lost you can save valuable time.

Step 4: USDA Approval

The USDA approval can be done in person at your local USDA office.  If you prefer to handle the approval in person, you must bring your dog's rabies vaccine certificates for all rabies vaccinations documented on the health certificate.  These vaccination certificates will be required by the USDA at the time of health certificate endorsement.  Make an appointment at the closest USDA office well in advance.

If you cannot go to a USDA office in person, you can overnight the original USDA form that was prepared by the veterinarian to the nearest regional USDA office along with all supporting documentation. Enclose in the envelope a pre-paid overnight-shipping envelope and a check payable to the USDA in the amount of $38. See the USDA user fee page for more details.  You can also pay the fee with a credit card over the phone.

You should receive the final USDA-endorsed forms 2-3 days after you overnight the forms to their office.

Please note: The EU health certificate is valid for travel within the EU for up to 4 months from the date it is issued by the USDA Accredited Veterinarian as long as the rabies vaccine documented on the form has not expired. 

Step 5: Notify HARC

Email the Heathrow Animal Reception Center (HARC) at harc@cityoflondon.gov.uk and include the following information:

  • Scanned copy of your USDA form as prepared by your veterinarian. It does not need to be endorsed by the USDA yet.

  • Scanned copy of your most recent rabies vaccination certificate.

  • PNR number of your flight, i.e., the booking reference number, usually a combination of 6 letters and/or numbers.

  • Letter from a physician, a training certificate or a registration card to demonstrate that the dog is an PSD or Service Animal.

If you need any further information, review the center’s website or talk to a representative on the phone at +44-20-8745-7894. They are open 24 hours, year around.

Once the HARC reviews your documentation, they will email you a confirmation that your documentation is in order. You will then need to call them on the phone to make a credit card payment. The fee, as of April 2018 is £366.

Please Note: HARC requires at least 72 hours notice before your scheduled departure to issue your pre-approval letter.

Step 6: Preparing to fly with your dog

The HARC will issue a pre-approval letter for traveling with your dog, usually within 24 hours of receipt of payment. Contact your airline and provide the pre-approval letter. You will also need to fill out the airline-provided forms to document that the dog is an PSD/Service Animal. You may need a letter from a physician to document that your dog is an PSD or Service Animal.

Note that Airlines usually require that all documentation be submitted at least 48 hours before your flight.  Some airlines also require other forms such as proof of training and other safety-related documentation.  The HARC will also require a letter from your physician, a training certificate, or a registration card to document that your dog is an PSD/Service Animal.

Once the airline approves and manifests your dog, call their Accessibility desk to request the most appropriate seat for someone flying with a dog. If flying economy, request that you get a bulkhead seat, at the front of the economy section. On most planes, the bulkhead seats have the most space in front of your seat, often sufficient for other passengers sitting next to you to be able to get out of their seat without disturbing your dog. 

Step 7: Tape Deworming

Schedule tape deworming of your dog with your USDA-accredited veterinarian to be performed no less than 24 hours and no more than 120 hours (5 days) before your arrival to the UK. The tapeworm treatment needs to contain the active ingredient praziquantel. Bring the USDA-endorsed forms to the veterinarian office; the veterinarian needs to include the tape deworming details in the final version of the USDA forms.

Step 8: USA TO UK

When flying to the UK, bring your original USDA-endorsed forms, a copy of your rabies certificate and a copy of all of the documentation provided to the airline to document your dog as an PSA/Service animal.

Upon arrival in the UK, staff from the Heathrow Animal Reception Centre (HARC) will wait for you at the gate. If they are not there, do not leave the gate. You may call the HARC on the phone to notify them that you have arrived and someone should be at the gate promptly.

The HARC staff will review all of your documentation and issue a customs clearance letter that you will need to provide at customs, after clearing through immigration. It is recommended that your PSA/Service animal wears a clearly marked service vest to expedite processing through immigration and customs.

Step 9: Immigration

Clear immigration as usual. Be prepared to show your USDA form and the clearance letter from the HARC. Once you clear immigration, take the “have something to declare” lane and walk to customs. If no one is there, use the phone on the wall to call them. Someone will come by and review the letter that the HARC provided you. You will now be officially cleared to depart from the terminal.

Do not surrender any of the forms you bring with you. Any officials that request them should simply review them and then return them to you. You will especially need your USDA forms upon your return to the US. Be prepared to be routed to the agricultural inspection line where your entire luggage will be inspected using the USDA X-ray machines.

Note: These requirements can change without notice so visit the USDA website to verify all steps before proceeding.


Planning Your UK Stay

Many hotels in the UK are pet friendly. Most hotel chains will also honor service dogs and accept their stay regardless of their pet policy. It is recommended that you use a hotel or an apartment that has a refrigerator to allow for storage of food or/and treats used to administer medications (if needed).

One such serviced apartment many families have used is Harpenden House Serviced Apartments. Tony has been very kind to our Mighty Hearts families and has put together this document with great information if you should wish to use his services. The Novotel Stevenage Hotel, is also located around 15 miles from the RVC hospital.

Given the (rural) location of the RVC hospital, it is highly recommended that you rent a car. Please drive slowly on the local roads; they tend to be very narrow and sometimes require taking turns at crossing narrow bridges or single-car passageways, not to mention driving is on the left side. It is recommended that you rent a small, automatic transmission car, otherwise use a car service or local trains.

Many hotels will provide a breakfast option. There are many restaurants and pubs that will let you bring your dog for lunch or dinner. See the Doggie Pubs for a list of dog-friendly restaurants and pubs.

Bring some of your dog’s food with you to more easily transition them to any local foods you may end up using after the surgery. Avoid any dietary changes right before the surgery; it can cause diarrhea which can further complicate the surgery and the recovery process. There are a plenty of pet food stores in the area around the RVC. The two I successfully used to find a good selection of food and pet products are the Partners Pet Supermarket (website, map) and Pets at Home (website, map).

Keep in mind that the UK uses a special, three blade Type G power plug and 220V electricity. Make sure that all electrical appliances you intend to bring are dual voltage (110V/220V) and that you bring at least one Type G adapter. The easiest thing to do is to buy one Type G adapter and a 110V/220V power strip. This way you adapt the power strip and then can plug in all of your (dual-voltage) appliances directly into the power strip. Note that a typical power strip you buy at a hardware store is not 110V/220V compliant - they typically only work with 110V. The power strip has to be specifically advertised as 110V/220V compliant. Here is one from Amazon.

Transportation from The Airport:

We highly recommend Manor Cars to pick you up from the airport, Many families have used their service and loved them.

Heathrow Airport to the RVC clinic


Other Helpful Tips:

>> Most collapsible strollers do not stay in a tidy compact position for stowing at the gate. It is helpful to have a velcro strap, small bungee cords, or twist ties with you to help secure the stroller so that it does not get damaged.

>> If you choose to bring a pet carrier in the event your flight crew wants your dog to be stowed for takeoff/landing, verify the maximum dimensions with your airline.

>> A pet carrier is required for travel to and from Japan and Heathrow airports (enclosed strollers work while in airport).

>> Secure money before leaving the US because not all ATMs are open 24x7 at the airport. You may need money to pay for transportation or money may be needed if you encounter an emergency.

>> You will need to pack for a full three weeks, but consider packing a small quantity of the following items as carry-on to get you through your flight: food, treats, waste bags, diapers, pee pads, and medications.

>> Diapers are helpful on the plane if your dog is not trained to use a pee pad. You can use baby diapers and cut a hole out for the tail as a cheaper solution to specialty dog diapers.

>> Research relief area options for the airports you will be using Pet Friendly Travel.

>> It is important to keep your dog calm on the flight.  Your cardiologist can work with you and a holistic veterinarian to determine the most appropriate method for your dog to remain calm, given their heart condition. Caution the use of any sedatives, please if you must look into holistic care options, test in stressful situations before ever going on an airplane.

>> When you enter security, you will usually be given two options: a) either walk through the metal detector with your dog on leash and then get patted down by a security official or b) if your dog is well trained, you can remove the leash and collar, insert them into a basket that goes through the x-ray machine, then walk through the metal detector by yourself and call your dog to follow you behind.

Please check out our helpful packing list,