Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Comparison of Different Anatomic, Hemodynamic, and Pathophysiological Types of Atrial Septal Defect in Three Small Dogs

세 마리의 소형견에서 발생한 다양한 해부학적, 혈역학적, 병태생리학적 타입의 심방중격결손 비교 고찰 사례

  • Kim, Jung-Hyun (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Diseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Moon, So-Jeung (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Diseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Kang, Min-Hee (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Diseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Kim, Seung-Gon (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Diseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Park, Hee-Myung (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Diseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University)
  • 김정현 (건국대학교 수의과대학 내과학교실) ;
  • 문소정 (건국대학교 수의과대학 내과학교실) ;
  • 강민희 (건국대학교 수의과대학 내과학교실) ;
  • 김승곤 (건국대학교 수의과대학 내과학교실) ;
  • 박희명 (건국대학교 수의과대학 내과학교실)
  • Accepted : 2011.11.30
  • Published : 2011.12.31
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Abstract

Three small breed dogs weighing less 5 kg were admitted with dyspnea and cardiac murmurs. One dog had primum type ASD and chylothorax was concurrently noted. Two dogs had secundum type ASD with and without concomitant pulmonic stenosis. Although medical treatment was attempted, two dogs with secundum type ASD died and a dog with primum type ASD was successfully managed with medication. Defects were confirmed by the postmortem examination in two cases. We first describe the comparison of clinical and diagnostic features in different anatomic, hemodynamic, and pathophysiological types of ASD in small breed dogs and they show some differences with ASD in large breed dogs.

5 kg 미만의 소형견 3마리가 호흡곤란과 심잡음을 주증상으로 내원하였다. 한 마리 환자에서는 일차 심방중격결손과 함께 유미흉이 진단되었다. 나머지 두 마리 환자들에서는 이차 심방중격결손이 확인되었으며, 이 중 한 마리의 환자에서는 폐동맥 협착증이 병발되었다. 내과적 치료를 시도하였으나, 이차 심방중격 결손을 가진 두 마리의 환자들은 폐사하였으며 일차 심방중격 결손이 있는 환자는 약물치료로 성공적으로 유지되었다. 폐사한 두 마리의 환자에 서는 부검을 통하여 결손부를 확인하였다. 본 증례의 경우, 세 마리의 소형견에서 발생한 다양한 해부학적, 혈역학적, 병태생리학적 타입의 심방중격 결손의 임상증상, 진단학적 특징을 대형견에서의 특징과 비교 분석한 첫 증례보고이다.

Keywords

References

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