Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
권호 표지

Cor Triatriatum Dexter Complicated with Pulmonic Stenosis and Patent Foramen Ovale in A Pitbull Terrier Puppy

핏불테리어종 자견에서 폐동맥 협착과 난원공 개존증이 합병된우측 삼중심방증

  • Choi, Ran (Jukjeon Animal Medical Center) ;
  • Lee, Dong-Guk (Jukjeon Animal Medical Center) ;
  • Choi, Hyun-Seok (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)
  • 최란 (대구 죽전 동물병원) ;
  • 이동국 (대구 죽전 동물병원) ;
  • 최현석 (강원대학교 수의학과 소동물 내과교실) ;
  • 현창백 (강원대학교 수의학과 소동물 내과교실)
  • Accepted : 2014.02.21
  • Published : 2014.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

A 2-month-old intact male Pitbull terrier (weighing 1.01 kg) were referred with primary complaints of severe abdominal distension, exercise intolerance, retarded growth, yellow nasal discharge and anorexia. Diagnostic imaging studies found enlarged right atrium partitioned by abnormal membrane, severe pulmonic systolic jets (5.66 m/s of peak velocity) and right-to-left blood shunt at the inter-atrial septum. Based on clinical and diagnostic findings, the case was diagnosed as cor triatriatum dexter complicated with severe pulmonic stenosis and right-to-left shunted patent foramen ovale. Either surgical or interventional therapy has not been attempted, because of unstable patient's condition. Using blood transfusion, oxygen supply and cardiac medications (i.e., sildenafil, spironolactone, enalapril), the dog was recovered.

2개월령 수컷 핏불테리어종 개 (체중 1.01 kg)가 심한 복부 팽만, 운동 불내성, 성장 지연, 노란 비루와 식욕부진을 주증으로 진료 의뢰 되었다. 영상 진단상에 비정상적인 막으로 분할된 확대된 우심방, 심한 수축기 폐동맥 제트 혈류 (최고혈류 5.66 m/s) 그리고 심방 중격에서의 우좌 단락혈류가 관찰되었다. 임상증상 및 진단학적 결과에 기초하여, 본 증례는 심한 폐동맥 협착과 우좌 단락의 난원공 개존증이 합병된 우측 삼중심방증으로 진단 되었다. 비안정적인 환자의 상태 때문에 수술적 혹은 중재적 치료는 시도되지 않았다. 그 개는 수혈, 산소공급 그리고 심장 관련 약물적 치료(예, 실데나필, 스피로노락톤, 에날라프릴)로 회복되었다.

Keywords

References

  1. Adin DB and Thomas WP. Balloon dilation of cor triatriatum dexter in a dog. J Vet Intern Med 1999; 13: 617-619. https://doi.org/10.1111/j.1939-1676.1999.tb02220.x
  2. Atkins C and DeFrancesco T. Balloon dilation of cor triatriatum dexter in a dog. J Vet Intern Med 2000; 14: 471-472. https://doi.org/10.1111/j.1939-1676.2000.tb02259.x
  3. Duncan RB Jr, Freeman LE, Jones J and Moon M. Cor triatriatum dexter in an English Bulldog puppy: case report and literature review. J Vet Diagn Invest 1999; 11: 361-365. https://doi.org/10.1177/104063879901100412
  4. Heaney AM and Bulmer BJ. Cor triatriatum sinister and persistent left cranial vena cava in a kitten. J Vet Intern Med 2004; 18: 895-898. https://doi.org/10.1111/j.1939-1676.2004.tb02638.x
  5. Koie H, Sato T, Nakagawa H and Sakai T. Cor triatriatum sinister in a cat. J Small Anim Pract 2000; 41: 128-131. https://doi.org/10.1111/j.1748-5827.2000.tb03180.x
  6. Leblanc N, Defrancesco TC, Adams AK, Atkins CE, Tou SP, Fudge JC and Keene BW. Cutting balloon catheterization for interventional treatment of cor triatriatum dexter: 2 Cases. J Vet Cardiol 2012; 14: 525-530. https://doi.org/10.1016/j.jvc.2012.04.006
  7. Niwayama G Cor triatriatum. Am Heart J 1960; 59: 291-317. https://doi.org/10.1016/0002-8703(60)90287-8
  8. Szatmari V, Sótonyi P, Fenyves B and Vörös K. Dopplerultrasonographic detection of retrograde pulsatile flow in the caudal vena cava of a puppy with cor triatriatum dexter. Vet Rec 2000; 147: 68-72. https://doi.org/10.1136/vr.147.3.68
  9. Tanaka R, Hoshi K, Shimizu M, Hirao H, Akiyama M, Kobayashi M, Machida N, Maruo K and Yamane Y. Surgical correction of cor triatriatum dexter in a dog under extracorporeal circulation. J Small Anim Pract 2003; 44: 370-373. https://doi.org/10.1111/j.1748-5827.2003.tb00171.x
  10. Tigen K, Karaahmet T, Kirma C, Kilicgedik A, Dundar C, Pala S, Cevik C, Guler A, Gurel E and Basaran Y. The association of functional mitral regurgitation and anemia in patients with non-ischemic dilated cardiomyopathy. Cardiol J 2010; 17: 274-280.