Thyen Anna K, Riggs Alexandra H, Her Jiwoong, Yaxley Page E
The Ohio State University, College of Veterinary Medicine, Columbus, USA.
JFMS Open Rep. 2024 Jul 31;10(2):20551169241265227. doi: 10.1177/20551169241265227. eCollection 2024 Jul-Dec.
An 11-year-old male neutered cat was referred to The Ohio State University's Veterinary Teaching Hospital after being diagnosed with pleural effusion by a referral veterinarian. After thoracocentesis, analysis of the effusion was consistent with chyle. Echocardiography, radiographs and bloodwork were used to diagnose hypertrophic cardiomyopathy phenotype and left-sided congestive heart failure, suspected to be secondary to uncontrolled hyperthyroidism. While initiating medical therapy, repeated thoracocenteses were required. A severe pneumothorax developed, necessitating placement of bilateral thoracostomy tubes. A thoracic CT scan did not reveal a cause for the pneumothorax; therefore, it was suspected to have occurred secondarily to an iatrogenic laceration of the parenchyma during thoracocentesis. An autologous blood patch pleurodesis was considered contraindicated so instead the cat was administered a blood patch using blood from a canine blood donor. The cat's respiratory status remained stable without additional intervention. At 30 h after blood patch pleurodesis, the thoracostomy tubes were removed and thoracic radiographs revealed near resolution of the pleural effusion and pneumothorax. The cat remained subclinical and was discharged from the hospital 48 h after the blood patch pleurodesis. Upon follow-up at 4 and 8 weeks after discharge, the cat was alive and had no complications or adverse reactions from the blood patch pleurodesis.
This case documents the first report of a xeno-blood patch pleurodesis performed in a cat using blood from a canine donor. The cat had a successful discharge from the hospital with no adverse reactions from the xeno-blood patch pleurodesis.
一只11岁已绝育的雄性猫在被转诊兽医诊断为胸腔积液后，被转诊至俄亥俄州立大学兽医学院教学医院。胸腔穿刺术后，积液分析结果与乳糜相符。超声心动图、X光片和血液检查用于诊断肥厚型心肌病表型和左侧充血性心力衰竭，怀疑是由未控制的甲状腺功能亢进继发引起。在开始药物治疗时，需要反复进行胸腔穿刺。出现了严重气胸，需要放置双侧胸腔闭式引流管。胸部CT扫描未发现气胸的病因；因此，怀疑是胸腔穿刺时实质组织医源性撕裂继发所致。自体血贴片胸膜固定术被认为是禁忌的，因此改为给这只猫使用犬类献血者的血液进行血贴片治疗。无需额外干预，猫的呼吸状态保持稳定。血贴片胸膜固定术后30小时，拔除胸腔闭式引流管，胸部X光片显示胸腔积液和气胸几乎消退。猫仍无症状，并在血贴片胸膜固定术后48小时出院。出院后4周和8周随访时，猫存活，血贴片胸膜固定术未引起并发症或不良反应。
本病例记录了首例在猫身上使用犬类献血者血液进行异种血贴片胸膜固定术的报告。这只猫成功出院，异种血贴片胸膜固定术未引起不良反应。
