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Aberrant right subclavian artery causing megaoesophagus in three cats
F Cinti1, D Della Santa2, S Borgonovo3
1Centro Veterinario Luni Mare, Ortonovo (SP), Italy.
Insights
Aberrant right subclavian artery causes regurgitation in cats. CT angiography aids in diagnosing and planning surgical treatment for this congenital vascular anomaly.
Area of Science:
- Veterinary Medicine
- Cardiovascular Surgery
- Diagnostic Imaging
Background:
- Congenital vascular anomalies can cause significant health issues in domestic animals.
- Aberrant right subclavian artery (ARSA) is a rare condition that can lead to regurgitation in felines.
- Accurate diagnosis is crucial for effective treatment planning.
Observation:
- Three domestic shorthair cats presented with regurgitation.
- All cats were diagnosed with megaoesophagus secondary to aberrant right subclavian artery using thoracic radiography and CT angiography.
- One cat also had a concurrent patent ductus arteriosus.
Findings:
- Aberrant right subclavian artery was identified as the cause of megaoesophagus in all affected cats.
- Three-dimensional CT angiography provided detailed anatomical information for surgical planning.
- CT angiography is effective for preoperative assessment of vascular anomalies in cats.
Implications:
- This study highlights the importance of CT angiography in diagnosing complex congenital vascular anomalies in cats.
- The findings support the use of advanced imaging for surgical planning in veterinary cardiology.
- Early and accurate diagnosis can lead to improved outcomes for cats with ARSA.
Abstract:
Three entire, domestic, shorthair male cats (age range: 3 months to 5 years) were referred because of regurgitation. Megaoesophagus attributable to aberrant right subclavian artery, originating from the aorta at the level of the fourth intercostal space, was diagnosed in all cats using thoracic radiography and CT angiography. One cat had concurrent patent ductus arteriosus with a normal aortic arch. Three-dimensional volume-rendered CT images were used to assess the malformations and to plan surgery for the treatment of the vascular anomalies. Different surgical approaches were used in the two kittens. The third cat was not operated. CT angiography is well suited for preoperative planning in cats with aberrant right subclavian artery alone or in combination with other vascular anomalies.
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