Nadolny K E, Kellihan H B, Scansen B A, Tjostheim S S, Grint K A, Forrest L J, Stepien R L
Department of Medical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, 2015 Linden Dr. Madison, WI 53706, USA.
Department of Medical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, 2015 Linden Dr. Madison, WI 53706, USA.
J Vet Cardiol. 2019 Jun;23:129-141. doi: 10.1016/j.jvc.2019.03.002. Epub 2019 Apr 30.
The objective of this study was to report the signalment, presentation, clinical and imaging findings, interventions, and outcomes in a group of dogs with cor triatriatum dexter (CTD).
Seventeen client-owned dogs.
Medical records were reviewed retrospectively for signalment, history, physical examination findings, imaging and diagnostic findings, presence of concurrent congenital cardiac defects, description of interventional procedures, therapy information, and outcomes.
Age at presentation ranged from two to 110 months, with 10 of 17 dogs (59%) aged <12 months. There was an equal distribution between the sexes. Peritoneal effusion was the most common presenting complaint, in 10 of 17 dogs (59%). The CTD was an isolated finding in 3 of 17 dogs (18%); the remaining 14 of 17 (82%) dogs had concurrent cardiac disease, with congenital anomalies present in 12 of 17 (70%). All except one of these 12 dogs had at least one additional condition affecting the right heart. Tricuspid valve dysplasia was the most common congenital comorbidity, present in 9 of 17 dogs (53%). Seven dogs (41%) underwent interventional treatment of their CTD. In 7 of 17 (41%) cases, the CTD was considered to be incidental and the dogs were asymptomatic; therefore, no interventions were performed. The remaining three cases were euthanized or lost to follow-up.
Cor triatriatum dexter in dogs is commonly seen in association with other right-sided congenital cardiac anomalies and may be an incidental finding. Dogs with CTD obstructing right atrial inflow can have a good outcome after intervention. Dogs with no clinical signs associated with the CTD may remain asymptomatic into adulthood.
本研究的目的是报告一组患有右心三房心(CTD)犬的特征、临床表现、临床及影像学检查结果、干预措施和预后情况。
17只客户拥有的犬。
对病历进行回顾性分析,内容包括特征、病史、体格检查结果、影像学和诊断检查结果、是否存在并发先天性心脏缺陷、介入操作描述、治疗信息及预后情况。
就诊时年龄范围为2至110个月,17只犬中有10只(59%)年龄小于12个月。雌雄分布均衡。腹腔积液是最常见的就诊主诉,17只犬中有10只(59%)出现该症状。17只犬中有3只(18%)的CTD为孤立性发现;其余14只(82%)犬患有并发心脏病,其中12只(70%)存在先天性异常。这12只犬中除1只外,均至少有一项影响右心的其他病症。三尖瓣发育异常是最常见的先天性合并症,17只犬中有9只(53%)出现该病症。7只(41%)犬接受了CTD的介入治疗。17例中有7例(41%),CTD被认为是偶然发现,犬无症状,因此未进行干预。其余3例实施了安乐死或失访。
犬右心三房心常与其他右侧先天性心脏异常相关,可能为偶然发现。因CTD导致右心房流入受阻的犬经干预后可能预后良好。与CTD无临床症状相关的犬成年后可能仍无症状。