Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Patent Ductus Arteriosus Occlusion with an $Amplatz^{(R)}$ Canine Duct Occluder in a Dog

개에서 $Amplatz^{(R)}$ Canine Duct Occluder를 이용한 동맥관개존증의 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, Seung-Gon (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Deseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Hahn, Tae-Yeon (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Deseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Park, Hyun-Ah (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Deseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Min, Sa-Hee (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Deseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Park, Ji-Hwan (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Deseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Kim, Tae-Woo (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 (BK21 수의진단 전문가 양성프로그램, 건국대학교 수의과대학 내과학교실) ;
  • 김승곤 (BK21 수의진단 전문가 양성프로그램, 건국대학교 수의과대학 내과학교실) ;
  • 한태연 (BK21 수의진단 전문가 양성프로그램, 건국대학교 수의과대학 내과학교실) ;
  • 박현아 (BK21 수의진단 전문가 양성프로그램, 건국대학교 수의과대학 내과학교실) ;
  • 민사희 (BK21 수의진단 전문가 양성프로그램, 건국대학교 수의과대학 내과학교실) ;
  • 박지환 (BK21 수의진단 전문가 양성프로그램, 건국대학교 수의과대학 내과학교실) ;
  • 김태우 (BK21 수의진단 전문가 양성프로그램, 건국대학교 수의과대학 내과학교실) ;
  • 박희명 (BK21 수의진단 전문가 양성프로그램, 건국대학교 수의과대학 내과학교실)
  • Accepted : 2012.12.17
  • Published : 2012.12.31
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Abstract

A 10-month-old intact male Maltese dog (body weight, 1.6 kg) presented with intermittent cough and abnormal heart sounds. The dog was diagnosed with a left-to-right patent ductus arteriosus (PDA) on the basis of the results of transthoracic echocardiography, color flow Doppler examination, and angiography. Transcatheter occlusion of the PDA was performed using the $Amplatz^{(R)}$ Canine Duct Occluder (ACDO) via the femoral artery. The device was placed under fluoroscopic guidance and successfully occluded the PDA. The continuous heart murmur disappeared immediately after the correction and no residual flow was detected. The dog was discharged the following day and regularly examined for complications and safety. This is the first report demonstrating the clinical application of ACDO for the transcatheter closure of PDA via the femoral artery in a small-breed dog in Korea.

10개월의 수컷 말티즈견 (1.6 kg)이 간헐적인 기침과 지속성 심잡음을 주증으로 내원 하였다. 환축은 경흉부심초음파 검사와 혈관 조영검사를 통하여 좌우단락의 동맥관개존증 (PDA)으로 진단되었다. 혈관조영 검사를 통하여 동맥관의 형태 및 크기에 대해 평가한 뒤, 대퇴동맥으로 $Amplatz^{(R)}$ Canine Duct Occluder (ACDO) 장치를 삽입하는 투시 유도하 동맥관 폐쇄술이 시도되었다. 동맥관의 폐쇄직후 지속성 심잡음이 사라졌으며, 시술 후 실시된 혈관조영검사를 통하여 잔류혈류가 관찰되지 않았다. 투시 유도하에서 ACDO 장착 및 성공적인 동맥관의 완전폐쇄가 확인되었다. 환자는 시술 1일 뒤 퇴원하였으며, 임상증상 관찰 및 심장검사가 정기적으로 이루어 졌다. 시술 후 합병증은 발생하지 않았다. 결론적으로 본 증례의 경우 대퇴동맥내로 ACDO를 적용한 성공적인 동맥관개존증 폐쇄술에 대한 국내 첫 증례보고이다.

Keywords

References

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