한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제29권5호
  • /
  • Pages.404-407
  • /
  • 2012
  • /
  • 1598-298X(pISSN)
  • /
  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지

개에서 발생한 팔로삼징

Trilogy of Fallot in a Dog

  • 최란 (강원대학교 수의학과 소동물 내과교실) ;
  • 안효진 (강원대학교 수의학과 소동물 내과교실) ;
  • 현창백 (강원대학교 수의학과 소동물 내과교실)
  • Choi, Ran (Section of Small Animal Internal Medicine, College of Veterinary Medicine, Kangwon National University) ;
  • Ahn, Hyo-Jin (Section of Small Animal Internal Medicine, College of Veterinary Medicine, Kangwon National University) ;
  • Hyun, Changbaig (Section of Small Animal Internal Medicine, College of Veterinary Medicine, Kangwon National University)
  • 심사 : 2012.10.05
  • 발행 : 2012.10.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

3년령 암컷 잡종개(체중 5.3 kg)가 실신, 운동불내성, 의기소침, 기면 등의 증상으로 강원대학교 동물병원에 내원하였다. 진단검사상 적혈구증가증이 관찰되고, 흉부방사선 검사상 심한 우심종대 패턴이 관찰되었으며, 심초음파상우-좌 단락의 심방중격 결손증, 심한 폐동맥 협착증(~5 m/s of peak velocity)과 우심실 비대소견이 관찰되었다. 환자는 진단영상학적 소견을 근거로 팔로삼징(trilogy of Fallot)으로 진단되었다. 환자의 임상증상을 안정화시키기 위해 diltiazem과 enalapril을 투여하였고 일주일에 한번씩 정맥사혈을 실시하고 있다. 본 증례는 국내에서 최초로 보고되는 팔로삼징의 증례이다.

A 3 years-old female mixed dog (weighing 5.3 kg) was referred to veterinary teaching hospital of Kangwon National University with primary complaints of syncope, severe exercise intolerance, depression and lethargy. Diagnostic studies revealed polycythemia, right sided cardiac enlargement on thoracic radiography and right-to left atrial septal defect, severe pulmonary stenosis (~5 m/s of peak velocity) and right ventricular hypertrophy. Based on diagnostic findings, the dog was diagnosed as trilogy of Fallot. To improve clinical condition of this dog, diltiazem and enalapril were prescribed with weekly phlebotomy. To author's best knowledge, this is the first case of trilogy of Fallot in Korea.

키워드

참고문헌

  1. Bross W, Bross T, Koltowski R, Kustrzycki A, Olejak B. Surgical treatment of trilogy and tetralogy of Fallot. Bull Soc Int Chir 1970; 29: 306-310.
  2. Fujii Y, Nishimoto Y, Sunahara H, Takano H, Aoki T. Prevalence of patent foramen ovale with right-to-left shunting in dogs with pulmonic stenosis. J Vet Intern Med 2012; 26: 183-185. https://doi.org/10.1111/j.1939-1676.2011.00839.x
  3. Johnson MS, Martin M, Edwards D, et al. Pulmonic stenosis in dogs: Balloon dilation improves clinical outcome. J Vet Intern Med 2004; 18: 656-662. https://doi.org/10.1111/j.1939-1676.2004.tb02602.x
  4. Lombard CW, Ackerman N, Berry CR, King RR, Buergelt CD. Pulmonic stenosis and right-to-left atrial shunt in three dogs. J Am Vet Med Assoc 1989; 194: 71-75.
  5. Saylam A, Ikizler C, Yurdakul Y, Aytaç A. Trilogy of Fallot: analysis of 10 cases undergone open heart surgery. Turk J Pediatr 1973; 15: 147-156.
  6. Tidholm A. Retrospective study of congenital heart defects in 151 dogs. J Small Anim Pract 1997; 38: 94-98. https://doi.org/10.1111/j.1748-5827.1997.tb03326.x