Queen's Veterinary School Hospital, Department of Veterinary Medicine, University of Cambridge, Madingley Road, Cambridge CB3 0ES, UK.
Queen's Veterinary School Hospital, Department of Veterinary Medicine, University of Cambridge, Madingley Road, Cambridge CB3 0ES, UK.
J Vet Cardiol. 2022 Jun;41:194-198. doi: 10.1016/j.jvc.2022.03.001. Epub 2022 Mar 16.
A one-year-old female English Springer Spaniel with no previous history of cardiac disease presented to the Queen's Veterinary School Hospital following a blunt traumatic incident with an acquired, direct Gerbode defect and associated third-degree atrioventricular block. Two months after the initial incident, follow-up echocardiography showed a nearly closed Gerbode defect with just trivial residual flow. A 24-h Holter monitor indicated second-degree atrioventricular block with occasional junctional tachycardia. A reassessment 22 months later confirmed spontaneous closure of the previously acquired traumatic Gerbode defect, with 2:1 second-degree atrioventricular block. The dog remained clinically asymptomatic, and free of treatment. To our knowledge, this is the first reported case of spontaneous closure of a previously acquired traumatic Gerbode defect in a dog.
一只一岁大的雌性英国史宾格犬,此前没有心脏病史,在遭受钝性创伤后出现获得性直接型房室间隔缺损和相关的三度房室传导阻滞,被送到女王兽医学校医院。初次发病两个月后,超声心动图复查显示房室间隔缺损几乎闭合,仅有少量残余分流。24 小时动态心电图监测显示二度房室传导阻滞,偶尔出现交接性心动过速。22 个月后再次评估时,发现之前获得性创伤性房室间隔缺损已自然闭合,呈 2:1 度二度房室传导阻滞。这只狗仍然没有临床症状,也无需治疗。据我们所知,这是首例报道的犬只获得性创伤性房室间隔缺损自然闭合的病例。