Schmierer Philipp A, Schwarz Andrea, Bass Danielle A, Knell Sebastian Christoph
Vetsuisse Faculty University of Zurich, Zurich, Switzerland
Vetsuisse Faculty University of Zurich, Zurich, Switzerland.
J Feline Med Surg. 2014 Aug;16(8):695-8. doi: 10.1177/1098612X13511623. Epub 2013 Nov 11.
A 2-year-old, 4.5 kg, neutered male domestic shorthair cat was presented to the emergency service with dyspnoea, anorexia and apathetic behaviour. Thoracic radiographs showed typical signs for a thoracic trauma and a tracheal lesion in the region of the carina, consistent with pseudoairway formation. Computed tomography (CT) was performed in the conscious cat to avoid aggravation of air leakage associated with ventilation. The additional CT findings were consistent with a novel pattern of a traumatic avulsion of the left principal bronchus expanding into the carina and caudal thoracic trachea. Despite the complex avulsion pattern, successful treatment was achieved surgically by performing an end-to-end anastomosis via a fifth right intercostal lateral thoracotomy. The cat was ventilated with a feeding tube and jet ventilation throughout. The cat showed excellent recovery 6 months after surgery.
一只2岁、体重4.5千克的已绝育雄性家养短毛猫因呼吸困难、厌食和行为冷漠被送至急诊。胸部X光片显示有典型的胸外伤迹象以及隆突区域的气管病变，符合假气道形成。为避免与通气相关的漏气加重，对清醒的猫进行了计算机断层扫描（CT）。CT的其他检查结果与一种新型的左主支气管创伤性撕脱模式相符，该撕脱延伸至隆突和胸段气管尾部。尽管撕脱模式复杂，但通过经右侧第五肋间外侧开胸进行端到端吻合术，手术治疗取得成功。术中全程通过饲管和喷射通气对猫进行通气。术后6个月，这只猫恢复良好。
