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Double-outlet right ventricle associated with discordant atrioventricular connection and dextrocardia in a cat
M C D Abduch1, P L J Tonini, L de Oliveira Domingos Barbusci
1Nucleo Veterinary Diagnosis, University of São Paulo Medical School, São Paulo, Brazil.
Insights
Congenital cardiac disease is uncommon in cats, affecting 0.2-1%. This case report details a rare feline presentation of discordant atrioventricular connection and double-outlet right ventricle, previously undescribed in animals.
Area of Science:
- Veterinary Cardiology
- Comparative Pathology
- Congenital Abnormalities
Background:
- Congenital cardiac disease (CCD) affects 0.2-1% of cats, with males more commonly affected.
- Discordant atrioventricular connection (dAVC) is rare in humans and not previously documented in animals.
- Double-outlet right ventricle (DORV) is a rare congenital heart defect in children.
Observation:
- A feline patient presented with complex cardiac malformations.
- The cat exhibited discordant atrioventricular connection, a condition where atrial and ventricular connections are reversed.
- The patient also presented with double-outlet right ventricle, a defect where both major arteries originate from the right ventricle.
Findings:
- This case represents the first documented instance of combined discordant atrioventricular connection and double-outlet right ventricle in a feline.
- The co-occurrence of these two rare cardiac anomalies in a single animal is highly unusual.
- Diagnostic imaging and pathological examination confirmed the complex congenital cardiac defects.
Implications:
- This report expands the understanding of congenital cardiac disease in felines.
- It highlights the possibility of rare and complex cardiac anomalies occurring in veterinary patients.
- Further research may elucidate the genetic or environmental factors contributing to such rare conditions in cats.
Abstract:
The prevalence of congenital cardiac disease in cats varies from 0.2 to 1 per cent, with males being more affected than females. This is probably an underestimate due to the fact that not all affected kittens are presented. Discordant atrioventricular connection (where the morphological right atrium connects to the morphological left ventricle, and the morphological left atrium connects to the morphological right ventricle) is an uncommon condition in humans and, to the authors' knowledge, has not to date been described in animals. The association between this anomaly and the double-outlet right ventricle (where both great arteries arise entirely or partially from the morphological right ventricle) is extremely rare in children. This report describes a case of a cat which presented with this association of cardiac defects.
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