Journal of Veterinary Science

  • 제23권1호
  • /
  • Pages.11.1-11.10
  • /
  • 2022
  • /
  • 1229-845X(pISSN)
  • /
  • 1976-555X(eISSN)
대한수의학회 (The Korean Society of Veterinary Science)
권호 표지
DOI QR코드

DOI QR Code

Successful mitral repair in dogs by mitral annuloplasty using Hegar dilator: two case reports

  • Lee, Won-Jong (Department of Veterinary Surgery, College of Veterinary Medicine, Chungnam National University) ;
  • Kim, Junyoung (Helix Animal Medical Center) ;
  • Moon, Chang-Hwan (Department of Veterinary Surgery, College of Veterinary Medicine, Chungnam National University) ;
  • Eom, TaeHeum (Helix Animal Medical Center) ;
  • Son, DongJu (Helix Animal Medical Center) ;
  • Lee, Seungmin (Department of Thoracic Surgery, The Catholic University of Korea Eunpyeong St. Mary's Hospital) ;
  • Lee, Haebeom (Department of Veterinary Surgery, College of Veterinary Medicine, Chungnam National University) ;
  • Jeong, Seong-Mok (Department of Veterinary Surgery, College of Veterinary Medicine, Chungnam National University) ;
  • Kim, Dae-Hyun (Department of Veterinary Surgery, College of Veterinary Medicine, Chungnam National University)
  • 투고 : 2021.07.05
  • 심사 : 2021.10.08
  • 발행 : 2022.01.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Mitral regurgitation (MR) is the most common heart disease in small-breed dogs. Mitral repair, which comprise artificial chorda tendineae implantation and mitral annuloplasty, has become the mainstay of treatment in the veterinary field. We report on two small dogs who underwent mitral repair surgery for MR. A Hegar dilator was used during mitral annuloplasty for accurate and reproducible surgery. In both cases, mitral regurgitant flow almost disappeared after surgery, and clinical signs improved. The treatment regimen was terminated 3 months after the surgery. We concluded that using a Hegar dilator may facilitate mitral valve repair surgery.

키워드

과제정보

We would like to thank Editage (www.editage.co.kr) for English language editing. The authors specially thank to directors of Helix Animal Medical Center (Hyun-Choul Jee and Jung-Yeon Hwang) for providing the patient data.

참고문헌

  1. Keene BW, Atkins CE, Bonagura JD, Fox PR, Haggstrom J, Fuentes VL, et al. ACVIM consensus guidelines for the diagnosis and treatment of myxomatous mitral valve disease in dogs. J Vet Intern Med. 2019;33(3):1127-1140. https://doi.org/10.1111/jvim.15488
  2. Di Salvo TG, Acker MA, Dec GW, Byrne JG. Mitral valve surgery in advanced heart failure. J Am Coll Cardiol. 2010;55(4):271-282. https://doi.org/10.1016/j.jacc.2009.08.059
  3. Bonow RO, Carabello BA, Chatterjee K, de Leon AC Jr, Faxon DP, Freed MD, et al. 2008 focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 1998 guidelines for the management of patients with valvular heart disease). Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol. 2008;52(13):e1-e142. https://doi.org/10.1016/j.jacc.2008.05.007
  4. Thornton KC. Repair surgery among latest treatments for mitral valve disease. Am Vet. 2017;2(4):22-24.
  5. Uechi M, Mizukoshi T, Mizuno T, Mizuno M, Harada K, Ebisawa T, et al. Mitral valve repair under cardiopulmonary bypass in small-breed dogs: 48 cases (2006-2009). J Am Vet Med Assoc. 2012;240(10):1194-1201. https://doi.org/10.2460/javma.240.10.1194
  6. Miura T, Eishi K, Yamachika S, Hashizume K, Yamane K, Taniguchi S, et al. Mitral valve repair for degenerative disease with leaflet prolapse: to improve long-term outcomes. Gen Thorac Cardiovasc Surg. 2009;57(1):10-21. https://doi.org/10.1007/s11748-008-0330-z
  7. McGee EC Jr, Gillinov AM, Blackstone EH, Rajeswaran J, Cohen G, Najam F, et al. Recurrent mitral regurgitation after annuloplasty for functional ischemic mitral regurgitation. J Thorac Cardiovasc Surg. 2004;128(6):916-924. https://doi.org/10.1016/S0022-5223(04)01143-2
  8. Nishida M, Kagawa Y, Mizukoshi T, Mizuno M, Mizuno T, Harada K, et al. Post-mortem evaluation of expanded polytetrafluoroethylene (ePTFE) used in mitral valve repair in dogs. J Vet Cardiol. 2012;14(1):307-312. https://doi.org/10.1016/j.jvc.2011.11.004
  9. Revuelta JM, Garcia-Rinaldi R, Gaite L, Val F, Garijo F. Generation of chordae tendineae with polytetrafluoroethylene stents. Results of mitral valve chordal replacement in sheep. J Thorac Cardiovasc Surg. 1989;97(1):98-103. https://doi.org/10.1016/S0022-5223(19)35132-3
  10. Kanemoto I, Mihara K, Sato K. Open-heart techniques and mitral valve plasty for mitral regurgitation in toy- and small-breed dogs: a review. Open Vet J. 2021;11(1):14-26. https://doi.org/10.4314/ovj.v11i1.4
  11. Mizuno T, Mizukoshi T, Uechi M. Long-term outcome in dogs undergoing mitral valve repair with suture annuloplasty and chordae tendinae replacement. J Small Anim Pract. 2013;54(2):104-107. https://doi.org/10.1111/j.1748-5827.2012.01305.x
  12. Deloche A, Jebara VA, Relland JY, Chauvaud S, Fabiani JN, Perier P, et al. Valve repair with Carpentier techniques. The second decade. J Thorac Cardiovasc Surg. 1990;99(6):990-1001. https://doi.org/10.1016/s0022-5223(20)31455-0
  13. Gillinov AM, Cosgrove DM 3rd, Shiota T, Qin J, Tsujino H, Stewart WJ, et al. Cosgrove-Edwards Annuloplasty System: midterm results. Ann Thorac Surg. 2000;69(3):717-721. https://doi.org/10.1016/S0003-4975(99)01543-X
  14. Cherian S, Cikirikcioglu M, Can Depboylu B, Jolou J, Kalangos A. Mitral annuloplasty using a biodegradable annuloplasty ring. Oper Tech Thorac Cardiovasc Surg. 2015;20(2):124-134. https://doi.org/10.1053/j.optechstcvs.2011.09.005
  15. Braun J, van de Veire NR, Klautz RJ, Versteegh MI, Holman ER, Westenberg JJ, et al. Restrictive mitral annuloplasty cures ischemic mitral regurgitation and heart failure. Ann Thorac Surg. 2008;85(2):430-436. https://doi.org/10.1016/j.athoracsur.2007.08.040
  16. Carpentier A, Deloche A, Dauptain J, Soyer R, Blondeau P, Piwnica A, et al. A new reconstructive operation for correction of mitral and tricuspid insufficiency. J Thorac Cardiovasc Surg. 1971;61(1):1-13. https://doi.org/10.1016/S0022-5223(19)42269-1
  17. Gaur D. The use of Hegar's dilator in laparoscopy. Minim Invas Ther. 1993;2(6):333-334. https://doi.org/10.3109/13645709309152981
  18. Gnanaraj J. The use of Hegar's dilator for finding correct planes around the uterus. Trop Doct. 2011;41(4):222-223. https://doi.org/10.1258/td.2011.090488
  19. Kaplan F, Alvarez J, Dwyer P. Nonsurgical separation of complete labial fusion using a Hegar dilator in postmenopausal women. Int Urogynecol J Pelvic Floor Dysfunct. 2015;26(2):297-298. https://doi.org/10.1007/s00192-014-2535-2
  20. Bapat VN, Attia R, Thomas M. Effect of valve design on the stent internal diameter of a bioprosthetic valve: a concept of true internal diameter and its implications for the valve-in-valve procedure. JACC Cardiovasc Interv. 2014;7(2):115-127. https://doi.org/10.1016/j.jcin.2013.10.012
  21. Dashkevich A, Blanke P, Siepe M, Pache G, Langer M, Schlensak C, et al. Preoperative assessment of aortic annulus dimensions: comparison of noninvasive and intraoperative measurement. Ann Thorac Surg. 2011;91(3):709-714. https://doi.org/10.1016/j.athoracsur.2010.09.038
  22. Schneider U, Aicher D, Miura Y, Schafers HJ. Suture annuloplasty in aortic valve repair. Ann Thorac Surg. 2016;101(2):783-785. https://doi.org/10.1016/j.athoracsur.2015.07.068
  23. Wesselowski S, Borgarelli M, Menciotti G, Abbott J. Echocardiographic anatomy of the mitral valve in healthy dogs and dogs with myxomatous mitral valve disease. J Vet Cardiol. 2015;17(2):97-106. https://doi.org/10.1016/j.jvc.2015.01.003
  24. Herrtage ME, Hall LW, English T A H. Surgical correction of the tetralogy of Fallot in a dog. J Small Anim Pract. 1983;24(2):51-62. https://doi.org/10.1111/j.1748-5827.1983.tb00416.x
  25. Brown ML, Schaff HV, Li Z, Suri RM, Daly RC, Orszulak TA. Results of mitral valve annuloplasty with a standard-sized posterior band: is measuring important? J Thorac Cardiovasc Surg. 2009;138(4):886-891. https://doi.org/10.1016/j.jtcvs.2009.01.022
  26. Rausch MK, Bothe W, Kvitting JP, Swanson JC, Miller DC, Kuhl E. Mitral valve annuloplasty: a quantitative clinical and mechanical comparison of different annuloplasty devices. Ann Biomed Eng. 2012;40(3):750-761. https://doi.org/10.1007/s10439-011-0442-y
  27. Choo SJ, Olomon J, Bowles C, Luo HH, Pang D, Oury JH, et al. An in vitro study of the correlation between aortic valve diameter and mitral intertrigonal distance: a simple method to select the correct mitral annuloplasty ring size. J Heart Valve Dis. 1998;7(5):593-597.
  28. Mizuno M, Uechi M. Mitral valve annuloplasty and chordal replacement in dogs. J Vet Cardiovasc Med. 2020;4(1):1-7.
  29. Tribouilloy CM, Enriquez-Sarano M, Schaff HV, Orszulak TA, Bailey KR, Tajik AJ, et al. Impact of preoperative symptoms on survival after surgical correction of organic mitral regurgitation: rationale for optimizing surgical indications. Circulation. 1999;99(3):400-405. https://doi.org/10.1161/01.CIR.99.3.400
  30. Stone GW, Lindenfeld J, Abraham WT, Kar S, Lim DS, Mishell JM, et al. Transcatheter mitral-valve repair in patients with heart failure. N Engl J Med. 2018;379(24):2307-2318. https://doi.org/10.1056/NEJMoa1806640