Öz
2-year-old, intact female, a Golden Retriever Dog was presented with the signs of respiratory distress, exercise intolerance, and muscular weakness. A high-grade systolic murmur was auscultated over the tricuspid valvular area. Thoracic radiographs showed an enlarged D-shape heart and free fluid (chylothorax) in the pleural space. ECG revealed small QRS complexes. Doppler echocardiography disclosed severe tricuspid insufficiency with moderate pulmonary hypertension, and tricuspid leaflets also were displaced down into the right ventricle, substantiating Ebstein’s anomaly. Five-weeks after the medical therapy, patient died at home. The owner of the patient refused the necropsy. This is the first case report of tricuspid dysplasia and Ebstein’s anomaly along with chylothorax in dogs
Anahtar Kelimeler
Kaynakça
- Agrawal V, Doelken P, Sahn SA (2008): Pleural fluid analysis in chylous pleural effusion. Chest, 133, 1436- 1441.
- Attenhofer Jost CH, Connolly HM, Dearani JA, et al (2007): Ebstein's anomaly. Circulation, 115, 277-285.
- Boon JA (2011): Veterinary Echocardiography, Second Edition, Wiley Blackwell Publishing, USA.
- Campbell SL, Forrester D, Johnston SA, et al (1995): Chylothorax associated with constrictive pericarditis in a dog. J Am Vet Med Assoc, 206, 1561-1564.
- Casley-Smith JR, Casley-Smith JR (1992): Modern treatment of lymphoedema. II. The benzopyrones. Australas J Dermatol, 33, 69-74.
- Choi R, Lee SK, Moon HS, Park IC, Hyun C (2009): Ebstein's anomaly with an atrial septal defect in a jindo dog. Can Vet J, 50, 405-410.
- de Bruijn D, van Oort A, Kapusta L (2007): Ebstein's anomaly with severe hypoplastic and stenotic pulmonary venous connections: an unusual cause of congenital chylothorax. Ultrasound Obstet Gynecol, 30, 910-912.
- Deprest C, French A, Chiers K (2006): Congenital tricuspid valve malformation with Ebstein’s anomaly in a Golden Retriever. Vlaams Diergeneeskundig Tijdschrift, 75, 380-384.
- Diana A, Guglielmini C, Acocella F, et al (2009): Chylothorax associated with tricuspid dysplasia and atrial septal defect in a bullmastiff. J Am Anim Hosp Assoc, 45, 78-83.
- Fossum TW, Jacobs RM, Birchard SJ (1986): Evaluation of cholesterol and triglyceride concentrations in differentiating chylous and nonchylous pleural effusions in dogs and cats. J Am Vet Med Assoc., 188, 49-51.
- Fossum TW, Miller MW, Rogers KS, et al (1994): Chylothorax associated with right-sided heart failure in five cats. J Am Vet Med Assoc., 204, 84-89.
- Gutberlet M, Oellinger H, Ewert P, et al (2000): Pre- and postoperative evaluation of ventricular function, muscle mass and valve morphology by magnetic resonance tomography in Ebstein's anomaly. Rofo, 172, 436-442.
- Hirschklau MJ, Sahn DJ, Hagan AD, et al (1977): Cross-sectional echocardiographic features of Ebstein's anomaly of the tricuspid valve. Am J Cardiol. 40, 400-404.
- Kittleson MD, Kienle RD (1998): Small Animal Cardiovascular Medicine. Mosby. Snt Louis, USA.
- Kornreich BG, Moïse NS (1997): Right atrioventricular valve malformation in dogs and cats: an electrocardiographic survey with emphasis on splintered QRS complexes. J Vet Intern Med, 11, 226-230.
- Maldonado F, Hawkins FJ, Daniels CE, et al (2009): Pleural fluid characteristics of chylothorax. Mayo Clin Proc, 84, 129-133.
- Noone KE (1985): Pleural effusions and diseases of the pleura. Vet Clin North Am Small Anim Pract., 15, 1069- 1084.
- Otto C (2004): Textbook of Clinical Echocardiography, Saunders, Phyledelphia.
- Papich MG (2011): Saunders Handbook of Veterinary Drugs- Small and Large Animal, Third Edition, Elsevier Saunders, USA.
- Salci H, Yilmaz Z, Bayram AS, et al (2009): Medical and surgical treatment of chylothorax in a dog with right- sided heart failure. Turk J Vet & Anim Scien, 33, 165-170.
- Skouras V, Kalomenidis I (2010): Chylothorax: diagnostic appoach. Curr Opin Pulmon Med, 16, 387-393.
- Sousa MG, Gerardi DG, Alves RO, CamachoAA (2006): Tricuspid valve dysplasia and Ebstein's anomaly in dogs: case report. Arq Bras Med Vet Zootec, 58, 762-767.
- Staats BA, Ellefson RD, Budahn LL, et al (1980): The lipoprotein profile of chylous and nonchylous pleural effusions. Mayo Clin Proc., 55, 700-704.
- Takemura N, Machida N, Nakagawa K, et al (2003): Ebstein's anomaly in a beagle dog. J Vet Med Sci., 65, 531-533.
Öz
2 yaşında, kısırlaştırılmamış, dişi Golden Retriever köpek solunum güçlüğü, egzersiz intoleransı ve kas zaafiyeti bulguları ile kliniklerimize sunuldu. Triküspit kapak alanında yüksek derece sistolik kalp üfürümü oskülte edildi. Torasik radyografide; D-şeklinde kalp büyümesi ve plöyral alanda serbest sıvı (şilotoraks) belirlendi. EKG’de küçük QRS kompleksleri gözlendi. Doppler ekokardiyografide orta dereceli sistolik pulmoner hipertansiyon, ciddi triküspid kapak yetmezliği ve Ebstein anomalisi olarak tanımlanan triküspit kapağın sağ ventriküle doğru yer değiştirmesi saptandı. Beş hafta medikal tedaviden sonra hasta, evinde hayatını kaybetti. Hasta sahibi nekropsiyi reddetti. Bu rapor köpeklerde Ebstein anomalisi, triküspit displazi ve şilotoraksın birlikte seyrettiği ilk olgu rapordur
Anahtar Kelimeler
Şilotoraks Ebstein anomalisi triküspit kapak displazisi köpek
Kaynakça
- Agrawal V, Doelken P, Sahn SA (2008): Pleural fluid analysis in chylous pleural effusion. Chest, 133, 1436- 1441.
- Attenhofer Jost CH, Connolly HM, Dearani JA, et al (2007): Ebstein's anomaly. Circulation, 115, 277-285.
- Boon JA (2011): Veterinary Echocardiography, Second Edition, Wiley Blackwell Publishing, USA.
- Campbell SL, Forrester D, Johnston SA, et al (1995): Chylothorax associated with constrictive pericarditis in a dog. J Am Vet Med Assoc, 206, 1561-1564.
- Casley-Smith JR, Casley-Smith JR (1992): Modern treatment of lymphoedema. II. The benzopyrones. Australas J Dermatol, 33, 69-74.
- Choi R, Lee SK, Moon HS, Park IC, Hyun C (2009): Ebstein's anomaly with an atrial septal defect in a jindo dog. Can Vet J, 50, 405-410.
- de Bruijn D, van Oort A, Kapusta L (2007): Ebstein's anomaly with severe hypoplastic and stenotic pulmonary venous connections: an unusual cause of congenital chylothorax. Ultrasound Obstet Gynecol, 30, 910-912.
- Deprest C, French A, Chiers K (2006): Congenital tricuspid valve malformation with Ebstein’s anomaly in a Golden Retriever. Vlaams Diergeneeskundig Tijdschrift, 75, 380-384.
- Diana A, Guglielmini C, Acocella F, et al (2009): Chylothorax associated with tricuspid dysplasia and atrial septal defect in a bullmastiff. J Am Anim Hosp Assoc, 45, 78-83.
- Fossum TW, Jacobs RM, Birchard SJ (1986): Evaluation of cholesterol and triglyceride concentrations in differentiating chylous and nonchylous pleural effusions in dogs and cats. J Am Vet Med Assoc., 188, 49-51.
- Fossum TW, Miller MW, Rogers KS, et al (1994): Chylothorax associated with right-sided heart failure in five cats. J Am Vet Med Assoc., 204, 84-89.
- Gutberlet M, Oellinger H, Ewert P, et al (2000): Pre- and postoperative evaluation of ventricular function, muscle mass and valve morphology by magnetic resonance tomography in Ebstein's anomaly. Rofo, 172, 436-442.
- Hirschklau MJ, Sahn DJ, Hagan AD, et al (1977): Cross-sectional echocardiographic features of Ebstein's anomaly of the tricuspid valve. Am J Cardiol. 40, 400-404.
- Kittleson MD, Kienle RD (1998): Small Animal Cardiovascular Medicine. Mosby. Snt Louis, USA.
- Kornreich BG, Moïse NS (1997): Right atrioventricular valve malformation in dogs and cats: an electrocardiographic survey with emphasis on splintered QRS complexes. J Vet Intern Med, 11, 226-230.
- Maldonado F, Hawkins FJ, Daniels CE, et al (2009): Pleural fluid characteristics of chylothorax. Mayo Clin Proc, 84, 129-133.
- Noone KE (1985): Pleural effusions and diseases of the pleura. Vet Clin North Am Small Anim Pract., 15, 1069- 1084.
- Otto C (2004): Textbook of Clinical Echocardiography, Saunders, Phyledelphia.
- Papich MG (2011): Saunders Handbook of Veterinary Drugs- Small and Large Animal, Third Edition, Elsevier Saunders, USA.
- Salci H, Yilmaz Z, Bayram AS, et al (2009): Medical and surgical treatment of chylothorax in a dog with right- sided heart failure. Turk J Vet & Anim Scien, 33, 165-170.
- Skouras V, Kalomenidis I (2010): Chylothorax: diagnostic appoach. Curr Opin Pulmon Med, 16, 387-393.
- Sousa MG, Gerardi DG, Alves RO, CamachoAA (2006): Tricuspid valve dysplasia and Ebstein's anomaly in dogs: case report. Arq Bras Med Vet Zootec, 58, 762-767.
- Staats BA, Ellefson RD, Budahn LL, et al (1980): The lipoprotein profile of chylous and nonchylous pleural effusions. Mayo Clin Proc., 55, 700-704.
- Takemura N, Machida N, Nakagawa K, et al (2003): Ebstein's anomaly in a beagle dog. J Vet Med Sci., 65, 531-533.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Veteriner Cerrahi |
| Diğer ID | JA62KB87BV |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Eylül 2015 |
| Yayımlandığı Sayı | Yıl 2015Cilt: 62 Sayı: 3 |