DOI QR코드

DOI QR Code

Closure of patent ductus arteriosus with a vascular plug in a German Shepherd dog

  • Han-Joon Lee (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Chungnam National University) ;
  • Taehyung Kwon (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Chungnam National University) ;
  • Gyeonggook Park (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Chungnam National University) ;
  • Dong-Kwan Lee (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Chungnam National University) ;
  • Joong-Hyun Song (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Chungnam National University) ;
  • Kun-Ho Song (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Chungnam National University)
  • 투고 : 2024.01.17
  • 심사 : 2024.03.14
  • 발행 : 2024.03.30

초록

A 4-year-old, spayed female German Shepherd dog (GSD) weighing 22.4 kg was referred to Chungnam National University Veterinary Medicine Teaching Hospital with the chief complaint of a cardiac murmur. A continuous murmur was detected at the left basilar region upon auscultation. In the thoracic radiographs, slight bulging of the aorta, the main pulmonary artery, and the left atrium were observed. Echocardiography revealed continuous turbulent flow directed from the main pulmonary artery towards the pulmonary valve and consistently within the main pulmonary artery. Based on all the results, a diagnosis of type II A patent ductus arteriosus (PDA) was made, and plans were established to treat it with transcatheter occlusion. Transcatheter occlusion was performed using a vascular plug and successfully deployed at the PDA. The patient did not exhibit any complications. GSDs are relatively less common compared to small-breed dogs in South Korea. Considering that GSDs are predisposed to PDA, it is crucial to periodically assess the presence of PDA through auscultation and echocardiography, even in the absence of clinical signs. Transcatheter occlusion using a vascular plug can be an option for treatment and can yield favorable outcomes.

키워드

참고문헌

  1. Bomassi E, Libermann S, Bille C, Rattez E. 2011. Patent ductus arteriosus in a family of Chihuahuas. J Small Anim Pract 52: 213-219. https://doi.org/10.1111/j.1748-5827.2011.01054.x
  2. Broaddus KD, Tillson DM. 2010. Patent ductus arteriosus in dogs. Compend Contin Educ Vet 32: E3.
  3. Buchanan JW. 2001. Patent ductus arteriosus morphology, pathogenesis, types and treatment. J Vet Cardiol 3: 7-16. https://doi.org/10.1016/S1760-2734(06)70010-8
  4. Buchanan JW, Patterson DF. 2003. Etiology of patent ductus arteriosus in dogs. J Vet Intern Med 17: 167-171. https://doi.org/10.1111/j.1939-1676.2003.tb02429.x
  5. Goodrich KR, Kyles AE, Kass PH, Campbell F. 2007. Retrospective comparison of surgical ligation and transarterial catheter occlusion for treatment of patent ductus arteriosus in two hundred and four dogs (1993-2003). Vet Surg 36: 43-49. https://doi.org/10.1111/j.1532-950X.2007.00233.x
  6. Hulsman AH, Breur JMPJ, Szatmari. 2021. Low profile vascular plug for transarterial occlusion of patent ductus arteriosus in small dogs. J Vet Intern Med 35: 98-106. https://doi.org/10.1111/jvim.15966
  7. Kim E, Choe C, Yoo JG, Oh SI, Jung Y, Cho A, Kim S, Do YJ. 2018. Major medical causes by breed and life stage for dogs presented at veterinary clinics in the Republic of Korea: a survey of electronic medical records. Peer J 6: e5161.
  8. Miller MW, Gordon SG, Saunders AB, Arsenault WG, Meurs KM, Lehmkuhl LB, Bonagura JD, Fox PR. 2006. Angiographic classification of patent ductus arteriosus morphology in the dog. J Vet Cardiol 8: 109-114. https://doi.org/10.1016/j.jvc.2006.07.001
  9. Nelson RW, Couto CG. 2019. Congenital cardiac disease, pp. 101-105. Small animal internal medicine. 6th ed. Elsevier. St. Louis, Missouri.
  10. Nguyenba TP, Tobias AH. 2007. The Amplatz canine duct occlude: A novel device for patent ductus arteriosus occlusion. J Vet Cardiol 9: 109-117. https://doi.org/10.1016/j.jvc.2007.09.002
  11. Saunders AB, Gordon SG, Boggess MM, Miller MW. 2014. Long-term outcome in dogs with patent ductus arteriosus: 520 cases (1994-2009). J Vet Intern Med 28: 401-410. https://doi.org/10.1111/jvim.12267
  12. Stauthammer CD, Olson J, Leeder D, Hohnadel K, Hanson M, Tobias AH. 2015. Patent ductus arteriosus occlusion in small dogs utilizing a low profile Amplatz canine duct occlude prototype. J Vet Caridol 17: 203-209. https://doi.org/10.1016/j.jvc.2015.06.002
  13. Stern DJ, Gunasekaran T, Sanders RA. 2020. Periprocedural vascular access complications associated with percutaneous femoral arterial access using the modified Seldinger's technique in dogs during cardiac catheterization: a single-center experience. J Vet Cardiol 32: 28-32. https://doi.org/10.1016/j.jvc.2020.09.004
  14. Wesselowski S, Saunders AB, Gordon SG. 2019. Anatomy, baseline characteristics, and procedural outcome of patent ductus arteriosus in German Shepherd dogs. J Vet Intern Med 33: 471-477. https://doi.org/10.1111/jvim.15401