DOI QR코드

DOI QR Code

Surgical Resection of Cardiac Hemangiosarcoma Using Articulated Surgical Stapler in a Dog

  • Woo-Jin Kim (Department of Veterinary Surgery, College of Veterinary Medicine, Chungnam National University) ;
  • Kyung-Min Kim (Department of Veterinary Surgery, College of Veterinary Medicine, Chungnam National University) ;
  • Won-Jong Lee (Department of Veterinary Surgery, College of Veterinary Medicine, Chungnam National University) ;
  • Chang-Hwan Moon (Department of Veterinary Surgery, College of Veterinary Medicine, Chungnam National University) ;
  • Hae-Beom Lee (Department of Veterinary Surgery, College of Veterinary Medicine, Chungnam National University) ;
  • Seong-Mok Jeong (Department of Veterinary Surgery, College of Veterinary Medicine, Chungnam National University) ;
  • Dae-Hyun Kim (Department of Veterinary Surgery, College of Veterinary Medicine, Chungnam National University)
  • 투고 : 2023.12.18
  • 심사 : 2024.01.03
  • 발행 : 2024.02.28

초록

This case report discusses the successful surgical resection of cardiac hemangiosarcoma in a dog using an articulated surgical stapler. Cardiac tumors, particularly hemangiosarcomas, have a poor prognosis. Recommended treatment involves surgical removal of the primary tumor, along with chemotherapy. However, the use of staples for cardiac tumor resection has not yet been extensively documented in the veterinary literature. A 10-year-old dachshund with pericardial effusion underwent surgery to remove a right atrial mass. An articulated linear cutting stapler was used for tumor resection. The patient experienced chylothorax as a complication but recovered well. However, the patient later developed respiratory symptoms and died, most likely due to aspiration pneumonia. The surgical stapler provided stability, convenience, and a shorter surgical time during tumor resection. Surgical resection combined with chemotherapy improves the survival of dogs with cardiac hemangiosarcoma. The stability and adjustability of the stapling device make it advantageous for cardiac tumor resection. Although complications, such as chylothorax, can arise, appropriate management can lead to positive outcomes. This case report demonstrates the feasibility and safety of using an articulated surgical stapler for cardiac tumor resection in dogs. Insights from this case can guide future research and clinical practice.

키워드

과제정보

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (No. 2022R1C1C1010464).

참고문헌

  1. Arai S, Milley EP, Lichtenberger J, Savidge C, Lawrence J, Cote E. Metastatic cardiac hemangiosarcoma in a 6 year old Wheaten Terrier mix. Vet Sci 2019; 6: 65.
  2. Cerfolio RJ, Allen MS, Deschamps C, Trastek VF, Pairolero PC. Postoperative chylothorax. J Thorac Cardiovasc Surg 1996; 112: 1361-1365; discussion 1365-1366. https://doi.org/10.1016/S0022-5223(96)70152-6
  3. Couture P, Denault A, Limoges P, Sheridan P, Babin D, Cartier R. Mechanisms of hemodynamic changes during off-pump coronary artery bypass surgery. Can J Anaesth 2002; 49: 835-849. https://doi.org/10.1007/BF03017418
  4. Crumbaker DM, Rooney MB, Case JB. Thoracoscopic subtotal pericardiectomy and right atrial mass resection in a dog. J Am Vet Med Assoc 2010; 237: 551-554. https://doi.org/10.2460/javma.237.5.551
  5. Fransson BA, Mayhew PD. Small animal laparoscopy and thoracoscopy. Hoboken: John Wiley & Sons. 2021: 367-375.
  6. Goldberg AD, Blankstein R, Padera RF. Tumors metastatic to the heart. Circulation 2013; 128: 1790-1794. https://doi.org/10.1161/CIRCULATIONAHA.112.000790
  7. Kim JH, Graef AJ, Dickerson EB, Modiano JF. Pathobiology of hemangiosarcoma in dogs: research advances and future perspectives. Vet Sci 2015; 2: 388-405. https://doi.org/10.3390/vetsci2040388
  8. Mathison M, Edgerton JR, Horswell JL, Akin JJ, Mack MJ. Analysis of hemodynamic changes during beating heart surgical procedures. Ann Thorac Surg 2000; 70: 1355-1360; discussion 1360-1361. https://doi.org/10.1016/S0003-4975(00)01590-3
  9. Milonakis M, Chatzis AC, Giannopoulos NM, Contrafouris C, Bobos D, Kirvassilis GV, et al. Etiology and management of chylothorax following pediatric heart surgery. J Card Surg 2009; 24: 369-373. https://doi.org/10.1111/j.1540-8191.2008.00781.x
  10. Monnet E, Orton EC. Surgical stapling devices in cardiovascular surgery. Vet Clin North Am Small Anim Pract 1994; 24: 367-374. https://doi.org/10.1016/S0195-5616(94)50157-8
  11. Mullin CM, Arkans MA, Sammarco CD, Vail DM, Britton BM, Vickery KR, et al. Doxorubicin chemotherapy for presumptive cardiac hemangiosarcoma in dogs†. Vet Comp Oncol 2016; 14: e171-e183. https://doi.org/10.1111/vco.12131
  12. Ng CS, Pickens A, Siegel JM, Clymer JW, Cummings JF. A novel narrow profile articulating powered vascular stapler provides superior access and haemostasis equivalent to conventional devices†. Eur J Cardiothorac Surg 2016; 49(Suppl 1): i73-i78. https://doi.org/10.1093/ejcts/ezv352
  13. Niyogi SG, Kumar B, Singh H, Biswas I. Left atrial dissection and rupture following excision of left atrial myxoma: role of transesophageal echocardiography. J Cardiothorac Vasc Anesth 2020; 34: 2823-2826. https://doi.org/10.1053/j.jvca.2020.06.064
  14. Nolan MW, Arkans MM, LaVine D, DeFrancesco T, Myers JA, Griffith EH, et al. Pilot study to determine the feasibility of radiation therapy for dogs with right atrial masses and hemorrhagic pericardial effusion. J Vet Cardiol 2017; 19: 132-143. https://doi.org/10.1016/j.jvc.2016.12.001
  15. Ployart S, Libermann S, Doran I, Bomassi E, Monnet E. Thoracoscopic resection of right auricular masses in dogs: 9 cases (2003-2011). J Am Vet Med Assoc 2013; 242: 237-241. https://doi.org/10.2460/javma.242.2.237
  16. Tobias KM. Surgical stapling devices in veterinary medicine: a review. Vet Surg 2007; 36: 341-349. https://doi.org/10.1111/j.1532-950X.2007.00275.x
  17. Treggiari E, Pedro B, Dukes-McEwan J, Gelzer AR, Blackwood L. A descriptive review of cardiac tumours in dogs and cats. Vet Comp Oncol 2017; 15: 273-288. https://doi.org/10.1111/vco.12167
  18. Ware WA, Hopper DL. Cardiac tumors in dogs: 1982-1995. J Vet Intern Med 1999; 13: 95-103.
  19. Weisse C, Soares N, Beal MW, Steffey MA, Drobatz KJ, Henry CJ. Survival times in dogs with right atrial hemangiosarcoma treated by means of surgical resection with or without adjuvant chemotherapy: 23 cases (1986-2000). J Am Vet Med Assoc 2005; 226: 575-579. https://doi.org/10.2460/javma.2005.226.575
  20. Wykes PM, Rouse GP, Orton EC. Removal of five canine cardiac tumors using a stapling instrument. Vet Surg 1986; 15: 103-106. https://doi.org/10.1111/j.1532-950X.1986.tb00186.x
  21. Yamamoto S, Hoshi K, Hirakawa A, Chimura S, Kobayashi M, Machida N. Epidemiological, clinical and pathological features of primary cardiac hemangiosarcoma in dogs: a review of 51 cases. J Vet Med Sci 2013; 75: 1433-1441. https://doi.org/10.1292/jvms.13-0064