Keene B W, Rush J E, Cooley A J, Subramanian R
Department of Medical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison 53706.
J Am Vet Med Assoc. 1990 Dec 1;197(11):1501-3.
An 8-year-old spayed Golden Retriever was examined because of recent onset of congestive heart failure complicated by ventricular arrhythmias. Echocardiography revealed a thickened, hypokinetic region of the left ventricular free wall. Fluoroscopically guided transarterial endomyocardial biopsy of the hypokinetic region of the left ventricle revealed infiltration of the endocradium by neoplastic cells consistent with hemangiosarcoma. The dog's clinical condition deteriorated 7 weeks later, and necropsy confirmed the diagnosis and primary site of origin of the tumor. This report describes the clinical use of an endomyocardial biopsy technique to diagnose an infiltrating myocardial tumor that was associated with signs mimicking canine dilated cardiomyopathy.
一只8岁已绝育的金毛猎犬因近期出现充血性心力衰竭并伴有室性心律失常而接受检查。超声心动图显示左心室游离壁增厚且运动减弱区域。在荧光透视引导下对左心室运动减弱区域进行经动脉心内膜活检，结果显示心内膜被与血管肉瘤一致的肿瘤细胞浸润。7周后该犬的临床状况恶化，尸检证实了肿瘤的诊断及原发部位。本报告描述了心内膜活检技术在诊断与模仿犬扩张型心肌病症状相关的浸润性心肌肿瘤中的临床应用。
