Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Transcatheter Closure of Patent Ductus Arteriosus with a Coil Embolization in a Dog

개에서 Coil색전술을 이용한 동맥관개존중의 폐쇄 증례

  • Kang, Min-Hee (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Deseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Kim, Jung-Hyun (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Deseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Moon, So-Jeung (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Deseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Kim, Seung-Gon (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Deseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Yeo, Jung-Jin (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Deseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Lee, Chang-Min (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Deseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Park, Hee-Myung (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Deseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University)
  • 강민희 (건국대학교 수의과대학 내과학교실) ;
  • 김정현 (건국대학교 수의과대학 내과학교실) ;
  • 문소정 (건국대학교 수의과대학 내과학교실) ;
  • 김승곤 (건국대학교 수의과대학 내과학교실) ;
  • 여정진 (건국대학교 수의과대학 내과학교실) ;
  • 이창민 (건국대학교 수의과대학 내과학교실) ;
  • 박희명 (건국대학교 수의과대학 내과학교실)
  • Accepted : 2011.04.04
  • Published : 2011.04.30
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Abstract

A 10 month-old female (intact) Maltese dog was presented due to continuous heart murmur. The dog was diagnosed with patent ductus arteriosus (PDA) based on two-dimensional echocardiography, computed tomography (CT) and angiography. Transarterial coil embolization was used for transcatheter occlusion of the PDA. A single coil was placed successfully and effectively occluded the blood flow through the ductus. Continuous heart murmur disappeared immediately the coil placement and no residual flow was detected. Complications and safety following the procedure were evaluated regularly based on clinical signs, cardiac examinations and serum troponin-I concentrations. This is the first clinical application of coil embolization for transcatheter closure of PDA in a dog in Korea.

10년령의 암컷 말티즈견이 지속성 심잡음을 주증으로 내원 하였다. 환축은 2차원 색채 도플러 심초음파 및 컴퓨터 단층촬영을 통해 동맥관개존증 (PDA)으로 진단되었다. 심혈관조영술을 통해 동맥관의 형태 및 크기에 대해 정확히 평가한 뒤, 동맥관 폐쇄를 위해 경도관 coil 색전술이 실시 되었다. 환자는 단일 coil을 이용하여 동맥관의 완전폐쇄가 이루어 졌으며, 폐쇄직후 지속성 심잡음이 사라지고 잔류혈류가 관찰되지 않았다. 시술 후 합병증은 발생하지 않았다. 임상증상, 심장검사 그리고 혈청 troponin-T 농도의 정기적인 평가를 통하여 환자의 상태를 관찰 하였는데, 변화가 없었다. 결론적으로 본 증례의 경우 coil색전술을 이용한 성공적인 동맥관개존증 폐쇄술에 대한 국내 첫 증례보고이다.

Keywords

References

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