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우심실 양분증 이환견에 대한 풍선확장술 시술 증례

Balloon dilation of double chambered right ventricle in a dog

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초록

A 4 months old, intact male Shih-tzu was referred to the Veterinary Medical Teaching Hospital of Chungnam National University for evaluation of the cause of cardiac murmur and syncope. Thoracic radiography revealed right-sided cardiomegaly. Echocardiography showed marked hypertrophy of right ventricular free wall and obstruction of right ventricular outflow tract, indicating double chambered right ventricle (DCRV). The dog was medicated with atenolol and sildenafil for DCRV, however, clinical signs did not control by medication. Balloon dilation for DCRV was performed to ameliorate patient’s clinical signs. The peak systolic pressure gradient across the obstruction region was decreased and clin-ical signs was improved by balloon dilation procedure. This is the first case report of balloon dilation for the treatment of canine DCRV in South Korea.

Abstract

A 4 months old, intact male Shih-tzu was referred to the Veterinary Medical Teaching Hospital of Chungnam National University for evaluation of the cause of cardiac murmur and syncope. Thoracic radiography revealed right-sided cardiomegaly. Echocardiography showed marked hypertrophy of right ventricular free wall and obstruction of right ventricular outflow tract, indicating double chambered right ventricle (DCRV). The dog was medicated with atenolol and sildenafil for DCRV, however, clinical signs did not control by medication. Balloon dilation for DCRV was performed to ameliorate patient’s clinical signs. The peak systolic pressure gradient across the obstruction region was decreased and clin-ical signs was improved by balloon dilation procedure. This is the first case report of balloon dilation for the treatment of canine DCRV in South Korea.

참고문헌 (10)

  1. Boon JA, "Veterinary Echocardiography", pp.647~657 (2011), Wiley-Blackwell
  2. Bussadori C, "Balloon valvuloplasty in 30 dogs with pulmonic stenosis: Effect of valve morphology and annular size on initial and 1-year outcome", J Vet Intern Med, 15, pp.553~558 (2001)
  3. Fukushima R, "Epidemiological and morphological studies of double-chambered right ventricle in dogs", J Vet Med Sci, 73, pp.1287~1293 (2011)
  4. Galal O, "Double-chambered right ventricle in 73 patients: spectrum of the disease and surgical results of transatrial repair", Can J Cardiol, 16, pp.167~174 (2000)
  5. MacLean HN, "Balloon dilation of double-chambered right ventricle in a cat", J Vet Intern Med, 16, pp.478~484 (2002)
  6. Martin JM, "Surgical correction of double-chambered right ventricle in dogs", J Am Vet Med Assoc, 220, pp.770~774 (2002)
  7. Minors SL, "Clinical and echocardiographic features of primary infundibular stenosis with intact ventricular septum in dogs", J Vet Intern Med, 20, pp.1344~1350 (2006)
  8. Monnet E, "Small animal soft tissue surgery" (2013), Wiley-Blackwell
  9. Oliveira P, "Retrospective review of congenital heart disease in 976 dogs", J Vet Intern Med, 25, pp.477~483 (2011)
  10. Schrope DP, "Primary pulmonic infundibular stenosis in 12 cats: natural history and the effects of balloon valvuloplasty", J Vet Cardiol, 10, pp.33~43 (2008)

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