在多伯曼犬中,肺动脉静脉形缺陷和同时出现的专利性动脉管道
G Mampaey1, E Stock2, K Kromhout2
1Department of Small Animals, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgium.
概括
这项研究报告了一种罕见的先天性肺动脉静脉形 (PAVM) 与多伯曼小狗的专利性动脉管 (PDA) 相结合. 成功关闭PDA的透导管解决了这两种情况,并改善了狗的健康状况.
科学领域:
- 兽医心脏病学 兽医心脏病学
- 狗的先天性心血管异常
- 干预性兽医是干预性的兽医.
背景情况:
- 专利性动脉管 (PDA) 和肺动脉静脉形 (PAVM) 是先天性心脏缺陷,可以导致狗的显著发病率.
- PDA和PAVM的联合发生非常罕见,在兽医文献中仅有有限的报道.
研究的目的:
- 描述一只多伯曼小狗具有同时先天性PDA和PAVM的独特案例.
- 详细说明这些结合的心血管异常的诊断成像和成功的干预治疗.
- 为了突出这一罕见组合在兽医中的意义.
主要方法:
- 使用了临床表现和诊断成像,包括胸部放射,心声和计算机断层扫描 (CT).
- 开始对充血性心力衰竭症状进行医学治疗.
- 使用阿姆普拉茨犬类管道封闭器对PDA进行过导管封闭.
主要成果:
- 患者呈现出充血性心力衰竭,心壮病和低氧血症的迹象.
- 诊断成像证实了从左到右移动的PDA和从右到左移动的PAVM.
- 手术后的随访表明,PDA完全关闭,心脏和血管异常的解决,动脉血液气体的正常化,CT上没有PAVM.
- 干预后,狗的心脏大小和功能正常.
结论:
- 这一病例代表了首次报告的先天性PAVM与狗中的PDA结合的实例.
- 通过导管封闭PDA可以成为同时发生心血管异常的有效治疗方法.
- 早期诊断和干预对于管理年轻动物复杂的先天性心脏缺陷至关重要.
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