Plexogenic pulmonary arteriopathy in a cat with non-restrictive ventricular septal defect and chronic pulmonary

D S Russell1, B A Scansen2, L Himmel1

  • 1Department of Veterinary Biosciences, The Ohio State University College of Veterinary Medicine, Columbus, OH 43210, USA.

Insights

A cat with congenital heart disease survived for 8 years with pulmonary arterial hypertension. Post-mortem lung examination revealed plexogenic pulmonary arteriopathy, with death attributed to cardiac arrhythmia.

Area of Science:

  • Veterinary Cardiology
  • Cardiovascular Pathology

Background:

  • Congenital heart disease (CHD) in cats can lead to complex cardiovascular conditions.
  • Pulmonary arterial hypertension (PAH) is a serious complication that requires long-term management.
  • This case examines the chronic progression of CHD and PAH in a feline patient.

Observation:

  • A 10-week-old domestic long-hair cat presented with multiple congenital cardiac defects, including ventricular septal defect (VSD), atrial septal defect (ASD), and dextroposition.
  • The cat was managed for 8 years, during which pulmonary arterial hypertension was diagnosed and monitored via echocardiography.
  • Clinical stability was maintained despite significant cardiac anomalies and diagnosed PAH.

Findings:

  • Histopathology of the lungs revealed plexogenic pulmonary arteriopathy, characterized by severe vascular lesions.
  • Despite extensive pulmonary vascular disease, overt signs of right heart failure were absent at post-mortem examination.
  • The cat's sudden death at 8 years of age was attributed to a fatal cardiac arrhythmia.

Implications:

  • This case highlights the potential for long-term survival in cats with complex CHD and chronic PAH.
  • The presence of plexogenic pulmonary arteriopathy in this feline case provides a comparative model for similar conditions in other species, such as dogs.
  • Understanding the long-term sequelae of CHD and PAH is crucial for improving diagnostic and therapeutic strategies in veterinary cardiology.

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