Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Transvenous Balloon Valvuloplasty through Femoral Vein in a French Bulldog with Pulmonic Stenosis

대퇴정맥을 통한 풍선확장술로 치료한 프렌치불독의 폐동맥협착증 치료증례

  • Choi, Ran (Dasom Animal Medical Center) ;
  • Suh, Sang-Il (Dasom Animal Medical Center) ;
  • Choi, Seo-Young (Section of Small Animal Internal Medicine, School of Veterinary Medicine, Kangwon National University) ;
  • Hyun, Changbaig (Section of Small Animal Internal Medicine, School of Veterinary Medicine, Kangwon National University)
  • 최란 (부산 다솜메디칼 센터) ;
  • 서상일 (부산 다솜메디칼 센터) ;
  • 최서영 (강원대학교 수의학과 소동물 내과교실) ;
  • 현창백 (강원대학교 수의학과 소동물 내과교실)
  • Accepted : 2015.08.20
  • Published : 2015.08.31
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Abstract

A 9-month-old castrated male French Bulldog (13 kg of body weight) was presented with the primary complaint of loud heart murmur and exercise intolerance. Diagnostic imaging studies found severe pulmonic stenosis (peak velocity > 5 m/s) with right ventricular hypertrophy. Because of higher pressure gradient between right ventricle and right ventricular outflow tract (> 100 mmHg), the dog was underwent balloon valvuloplasty through femoral vein. After procedure, the peak pulmonic velocity was reduced to 2.1 m/s (PG = 18 mmHg). Further follow-up study found no further deterioration, for 6 months to date. This is the first case report of pulmonic stenosis treated by transvenous balloon valvuloplasty through femoral vein in Korea.

9개월령 프렌치불독(체중 13 kg)이 심한 심잡음과 운동불내성으로 내원하였다. 영상진단검사상, 폐동맥에서 5 m/s이상의 고속의 젯트와 우심실 비대가 확인되었다. 우심실과 유출로 사이의 압력구배가 100 mmHg이상이여서 풍선확장술로 치료하였다. 치료후 폐동맥에서 젯트속도는 2.1 m/s (PG = 18 mmHg)이하로 감속되었다. 환자는 그 이후에 별다른 진단검사상 악화소견이 관찰되지 않았다. 본 증례는 대퇴정맥으로 폐동맥 협착을 풍선확장술로 치료한 국내 첫 증례이다.

Keywords

References

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