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Infective aortic valve endocarditis in a cat with patent ductus arteriosus and perimembranous ventricular septal
C Brennan1, T Gunasekaran1, K Williams2
1Department of Small Animal Clinical Sciences, College of Veterinary Medicine, 736 Wilson Rd, East Lansing, MI, 48824, United States.
Insights
This case report details a cat with congenital heart defects and aortic valve endocarditis, leading to systemic complications. It highlights the first documented instance of this combination in feline medicine.
Area of Science:
- Veterinary Cardiology
- Feline Medicine
- Pathology
Background:
- Congenital heart defects are relatively uncommon in cats.
- Aortic valve endocarditis is a serious condition often associated with bacterial infections.
Observation:
- A 3-year-old cat presented with respiratory distress.
- Echocardiography revealed ventricular septal defect, patent ductus arteriosus, and aortic valve endocarditis.
- Necropsy confirmed cardiac defects and identified systemic septic embolism.
Findings:
- The cat had concurrent congenital cardiac malformations and aortic valve endocarditis.
- Histopathology showed interstitial pneumonia and septic emboli in the kidneys and brain.
- This represents the first reported case of feline aortic valve endocarditis associated with congenital heart defects.
Implications:
- This case expands the understanding of complex cardiac conditions in cats.
- It underscores the importance of thorough diagnostics in cats with respiratory distress and suspected cardiac disease.
- Highlights potential complications of endocarditis in the context of congenital heart defects.
Abstract:
A 3-year-old, male neutered, domestic short-haired cat presented for evaluation of respiratory distress. Transthoracic echocardiography revealed a left-to-right shunting ventricular septal defect, a left-to-right shunting patent ductus arteriosus, and a vegetative growth on the aortic valve leaflet consistent with aortic valve endocarditis. Because of poor response to therapy, the owner elected euthanasia, and a necropsy was performed. Gross necropsy examination confirmed the congenital cardiac defects, and aortic valve endocarditis was noted on the echocardiogram. Histopathological examination revealed diffuse interstitial pneumonia and evidence for systemic septic embolism including renal infarcts and brain microabscesses. To the authors' knowledge, this is the first case report of aortic valve endocarditis in a cat in association with congenital cardiac malformations.
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