Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Hypertrophic Cardiomyopathy with Aortic Thromboembolism in Two Cats

고양이 비대심장근육병증에 의한 대동맥혈전색전증 2례

  • Kim, Mi-Eun (College of Veterinary Medicine, Seoul National University) ;
  • Lee, Hye-Yeon (College of Veterinary Medicine, Seoul National University) ;
  • Kim, Jun-Young (College of Veterinary Medicine, Seoul National University) ;
  • Lee, Nam-Soon (College of Veterinary Medicine, Seoul National University) ;
  • Jeon, Jae-Nam (Kangnam Animal Clinic) ;
  • Lee, Young-Heun (College of Veterinary Medicine, Seoul National University) ;
  • Youn, Hwa-Young (College of Veterinary Medicine, Seoul National University) ;
  • Kim, Dae-Yong (College of Veterinary Medicine, Seoul National University) ;
  • Choi, Min-Cheol (College of Veterinary Medicine, Seoul National University) ;
  • Yoon, Jung-Hee (College of Veterinary Medicine, Seoul National University)
  • Published : 2009.08.31
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Abstract

Hypertrophic cardiomyopathy (HCM) is the most often seen type of cardiomyopathy in cats. The cause is unknown but a genetic basis is thought to underlie some cases. Thromboembolism (TE) is a troubling complication in cats with myocardial disease. Two cats referred to Seoul National University Hospital for Animals with the paralysis of bilateral hindlimbs after vomiting. The cats were depressed and the bilateral hindlimbs were cyanotic, cool and painful. Heart murmur sounds were auscultated in both cases. Through radiographic and echocardiographic evaluation, HCM was diagnosed. TE at the distal aortic trifurcation was also visualized on abdominal ultrasonography. Both cats were expired and HCM and saddle thrombus were confirmed by postmortem examination in one cat.

비대심장근육병증은 고양이에서 가장 흔히 발생하는 심장근육병증의 한 종류이다. 원인은 명확하지 않지만, 어떤 예에서는 유전적인 원인이 작용하는 것으로 생각된다. 혈전색전증은 심장근육병증이 있는 고양이에서 심각한 합병증을 야기한다. 서울대학교 동물병원에 구토 이후에 양쪽 후지마비를 주소로 내원한 2마리의 고양이에서, 내원 당시 고양이는 침울한 상태였고, 양쪽 후지는 청색증을 보였고 냉감과 통증을 나타내었다. 심잡음이 두 마리 모두에서 청취되었다. 일반 촬영과 심초음파 평가를 통해 비대심장근육병증을 진단하였다. 대동맥 분기부 혈전색전증을 복부 초음파 검사를 통해 확인하였다. 두 고양이 모두 폐사하였으며, 그 중 한 마리에서는 부검을 통해 비대심장근육병증 및 안장모양 혈전을 확인하였다.

Keywords

References

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