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西地那非和贝拉普罗斯特钠成功治疗两只犬的动脉导管未闭和重度肺动脉高压

Successful treatment of patent ductus arteriosus and severe pulmonary hypertension using sildenafil and beraprost sodium in two dogs.

作者信息

Sugimoto Keisuke, Mochizuki Yohei, Itoi Takamasa, Tsuji Kanako, Iwano Asuka, Shimizu Yuki, Wada Yuko, Kanda Teppei

机构信息

Faculty of Veterinary Medicine, Okayama University of Science, Ehime, Japan.

出版信息

J Vet Med Sci. 2025 Jul 7;87(7):798-803. doi: 10.1292/jvms.25-0097. Epub 2025 May 26.

DOI:10.1292/jvms.25-0097
PMID:40414725
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12246568/
Abstract

Two dogs with patent ductus arteriosus and severe pulmonary hypertension were presented to our veterinary teaching hospital. In both dogs, sildenafil was initiated to treat pulmonary hypertension, and surgery was supposed to be scheduled after dose titration. Although no obvious improvement in pulmonary hypertension was observed, no dog had polycythaemia or an increased haematocrit level. The dogs underwent ductal occlusion, and treatment with beraprost sodium was subsequently initiated. Thereafter, severe pulmonary hypertension dramatically improved. No dog showed any clinical sign of right heart failure or adverse drug reaction postoperatively, thereby demonstrating the successful treatment of two dogs with patent ductus arteriosus and severe pulmonary hypertension, using sildenafil and beraprost sodium.

摘要

两只患有动脉导管未闭和严重肺动脉高压的犬被送至我们的兽医教学医院。对于这两只犬,均开始使用西地那非治疗肺动脉高压,并计划在剂量滴定后安排手术。尽管未观察到肺动脉高压有明显改善,但两只犬均未出现红细胞增多症或血细胞比容水平升高。这两只犬接受了导管封堵术,随后开始使用贝前列素钠进行治疗。此后,严重肺动脉高压显著改善。术后,两只犬均未出现任何右心衰竭的临床症状或药物不良反应,从而证明使用西地那非和贝前列素钠成功治疗了两只患有动脉导管未闭和严重肺动脉高压的犬。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc69/12246568/71759d193d29/jvms-87-7-798-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc69/12246568/09264a5e64b3/jvms-87-7-798-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc69/12246568/8158f0b7e234/jvms-87-7-798-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc69/12246568/65e3b5843890/jvms-87-7-798-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc69/12246568/5b65d484a78d/jvms-87-7-798-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc69/12246568/71759d193d29/jvms-87-7-798-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc69/12246568/09264a5e64b3/jvms-87-7-798-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc69/12246568/8158f0b7e234/jvms-87-7-798-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc69/12246568/65e3b5843890/jvms-87-7-798-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc69/12246568/5b65d484a78d/jvms-87-7-798-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc69/12246568/71759d193d29/jvms-87-7-798-g005.jpg

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本文引用的文献

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Beraprost Sodium for Pulmonary Hypertension in Dogs: Effect on Hemodynamics and Cardiac Function.贝前列素钠对犬肺动脉高压的影响:对血流动力学和心脏功能的作用
Animals (Basel). 2022 Aug 15;12(16):2078. doi: 10.3390/ani12162078.
2
Investigation of Beraprost Sodium on Cardiac Function and Hemodynamics in Canine Models of Chronic Pulmonary Hypertension.贝拉普司特钠对慢性肺动脉高压犬模型心功能和血流动力学的研究。
Front Vet Sci. 2022 Apr 14;9:876178. doi: 10.3389/fvets.2022.876178. eCollection 2022.
3
Clinical features and outcome of dogs and cats with bidirectional and continuous right-to-left shunting patent ductus arteriosus.
犬猫双向持续动脉导管左向右分流的临床特征和转归。
J Vet Intern Med. 2021 Mar;35(2):780-788. doi: 10.1111/jvim.16072. Epub 2021 Feb 26.
4
The effect of sildenafil on pulmonary haemodynamics in a canine model of chronic embolic pulmonary hypertension.西地那非对慢性栓塞性肺动脉高压犬模型肺血流动力学的影响。
Res Vet Sci. 2020 Dec;133:106-110. doi: 10.1016/j.rvsc.2020.08.019. Epub 2020 Sep 2.
5
Development of Spontaneous Echocardiographic Contrast After Transarterial Occlusion of a Patent Ductus Arteriosus in an Adult Dog With Concurrent Pulmonary Hypertension.成年并发肺动脉高压犬动脉导管未闭经动脉闭塞后自发性超声心动图造影的发展
Front Vet Sci. 2020 Feb 26;7:103. doi: 10.3389/fvets.2020.00103. eCollection 2020.
6
Guidelines for the Treatment of Pulmonary Hypertension (JCS 2017/JPCPHS 2017).肺动脉高压治疗指南(2017年日本循环学会/2017年日本肺循环与肺动脉高压学会)
Circ J. 2019 Mar 25;83(4):842-945. doi: 10.1253/circj.CJ-66-0158. Epub 2019 Mar 9.
7
Effect of patent ductus arteriosus on pulmonary vascular disease.动脉导管未闭对肺血管疾病的影响。
Congenit Heart Dis. 2019 Jan;14(1):37-41. doi: 10.1111/chd.12702.
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Eisenmenger syndrome.艾森曼格综合征
Autops Case Rep. 2017 Mar 30;7(1):5-7. doi: 10.4322/acr.2017.006. eCollection 2017 Jan-Mar.
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Update on pulmonary arterial hypertension pharmacotherapy.肺动脉高压药物治疗的最新进展。
Postgrad Med. 2016 Jun;128(5):460-73. doi: 10.1080/00325481.2016.1188664.
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