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犬浸润性心脏血管肉瘤导致三度房室传导阻滞。

Third-degree atrioventricular block secondary to infiltrative cardiac hemangiosarcoma in a dog.

机构信息

Cummings School of Veterinary Medicine at Tufts University, 200 Westboro Rd, North Grafton, MA 01536, USA.

Cummings School of Veterinary Medicine at Tufts University, 200 Westboro Rd, North Grafton, MA 01536, USA.

出版信息

J Vet Cardiol. 2022 Aug;42:43-46. doi: 10.1016/j.jvc.2022.05.006. Epub 2022 May 18.

DOI:10.1016/j.jvc.2022.05.006
PMID:35709546
Abstract

A nine-year-old male, castrated Pembroke Welsh Corgi presented with a two-month history of lethargy, hyporexia, and occasional vomiting. There was also a two-week history of exercise intolerance; no syncopal episodes were reported. Auscultation revealed bradycardia with an irregular rhythm and otherwise normal heart and lung sounds. Third-degree atrioventricular block was diagnosed. Two-dimensional transthoracic echocardiography revealed a soft tissue structure arising from the atrioventricular junction and interatrial septum. There was scant abdominal effusion. Pacemaker implantation was offered, but the owner elected humane euthanasia due to the unknown prognosis. Necropsy was consistent with cardiac hemangiosarcoma infiltrating the interatrial and interventricular septum.

摘要

一只 9 岁雄性,去势彭布罗克威尔士柯基犬,表现出两个月的嗜睡、食欲减退和偶尔呕吐。还伴有两周的运动不耐受病史;无晕厥发作的报告。听诊显示心动过缓伴不规则节律,心肺音正常。诊断为三度房室传导阻滞。二维经胸超声心动图显示起源于房室结和房间隔的软组织结构。少量腹腔积液。建议植入起搏器,但由于预后未知,主人选择了安乐死。尸检符合心脏血管肉瘤浸润房间隔和室间隔。

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