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Published on: November 4, 2021
Coil embolization of a palatine artery pseudoaneurysm in a gelding
Nathaniel R McClellan1, Margaret C Mudge, Brian A Scansen
1Department of Veterinary Clinical Sciences, The Ohio State University, Columbus, Ohio.
Objective:
To describe successful transarterial coil embolization of a palatine artery pseudoaneurysm that extended into the caudal maxillary sinus of a gelding.
Study Design:
Clinical report.
Animal:
A 24-year-old Morgan gelding with right-sided epistaxis.
Methods:
The right maxillary sinus was imaged by radiography, computed tomography, and sinoscopy. Angiography was performed to locate the source of bleeding, and transarterial coil embolization of a right palatine artery pseudoaneurysm was performed.
Results:
There was some mucoid nasal discharge and an intermittent cough postoperatively. No epistaxis was seen after embolization. There was moderate swelling of the surgical incision over the mid-cervical common carotid artery. The horse was discharged from the hospital 4 days after surgery, and had been doing well, with no signs of bleeding, for 2 months postoperatively. The horse had acute colic secondary to a strangulating lipoma at 2 months and was euthanatized after exploratory celiotomy. Placement of embolization coils in the right palatine artery was confirmed by CT and necropsy.
Conclusions:
Severe epistaxis in the horse may be caused by a ruptured major palatine artery pseudoaneurysm. Occlusion of this vessel can be successfully accomplished by transarterial coil embolization.
