한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제32권3호
  • /
  • Pages.243-246
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  • 2015
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  • 1598-298X(pISSN)
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  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
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동맥관 개존증에 걸린 치와와 개에서 대퇴정맥을 통한 Amplatzer 혈관플러그를 이용한 중재술적 치료

Occlusion of Patent Ductus Arteriosus in a Chihuahua Dogs Using Amplatzer Vascular Plug though Femoral Vein

  • 한숙희 (대구 죽전동물메디칼 센터) ;
  • 이동국 (대구 죽전동물메디칼 센터) ;
  • 최란 (부산 다솜 동물메디칼 센터) ;
  • 서상일 (부산 다솜 동물메디칼 센터) ;
  • 오연수 (강원대학교 수의학과 병리학교실) ;
  • 현창백 (강원대학교 수의학과 소동물 내과교실)
  • Han, Suk-Hee (Jukjeon Animal Medical Centre) ;
  • Lee, Dong-Gook (Jukjeon Animal Medical Centre) ;
  • Choi, Ran (Dasom Animal Medical Centre) ;
  • Suh, Sang-Il (Dasom Animal Medical Centre) ;
  • Oh, Yeonsu (Department of veterinary pathology, College of Veterinary Medicine, Kangwon National University) ;
  • Hyun, Changbaig (Section of Small Animal Internal Medicine, College of Veterinary Medicine, Kangwon National University)
  • 심사 : 2015.05.18
  • 발행 : 2015.06.30
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초록

9개월령 암컷 치와와(체중 1.5 kg)가 운동 불내성과 좌측 흉벽 심기저부의 큰 심잡음으로 의뢰되었다. 방사선 검사의 배복상에서 좌심실 종대 및 주폐동맥, 대동맥, 좌심방 확장의 전형적인 소견인 트리플범프(triple bump)가 확인 되었다. 심초음파 검사에서 동맥관이 확인되었으며 대동맥과 주폐동맥 사이에 좌우 방향의 연속적인 와류(최고 속도 5.73 m/s)가 측정되었다. 이 환자는 대퇴 정맥(정맥을 통한 접근)으로 접근하여 Amplatzer$^{(R)}$ vascular plug를 이용해 동맥관을 성공적으로 폐쇄하였다. 본 증례는 PDA를 대퇴 정맥으로 접근하여 vascular plug를 이용해 막은 국내 최초보고이다.

A 9 month-old female Chihuahua (weighing 1.5 kg) was referred with loud left basal murmur and exercise intolerance. Diagnostic imaging studies revealed the elongation of left ventricle (LV) with classic triple bumps on the main pulmonary artery, aorta and left atrium on the dorsoventral view of radiograph. Echocardiography revealed patent ductus arteriosus (PDA) duct and continuous turbulent shunt flow (maximal velocity 5.73 m/s) between the aorta and pulmonary artery with left to right direction. The PDA in this dog was successfully closed though femoral vein (transvenous approach) using an Amplatzer$^{(R)}$ vascular plug. To the best of author's knowledge, this is the first case of PDA occlusion treated with vascular plug through femoral vein.

키워드

참고문헌

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