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猫右肺动脉缩窄合并左肺动脉中断的成功球囊血管成形术:长期随访病例报告

Successful balloon angioplasty of right pulmonary coarctation with left pulmonary artery interruption in a cat: a long-term outcome follow-up case report.

作者信息

Jeon Sunghoon, Lee Gahyun, Han Dahee, Kim Jin-Kyung, Lee Namsoon, Chang Dongwoo

机构信息

College of Veterinary Medicine, Chungbuk National University, Cheongju, Republic of Korea.

Haemaru Referral Animal Hospital, Seongnam, Republic of Korea.

出版信息

J Vet Med Sci. 2025 Sep 5;87(9):1078-1085. doi: 10.1292/jvms.24-0501. Epub 2025 Jul 29.

Abstract

A 4-month-old, British Shorthair kitten was referred to our institute for evaluation of a heart murmur. Thoracic radiography and echocardiography revealed narrowing of the right pulmonary artery, accompanied by right atrial dilation and right ventricular hypertrophy. The systolic flow velocity across the stenotic lesion was 6.15 m/sec, with a pressure gradient of 151.42 mmHg. Computed tomography confirmed right pulmonary coarctation with concurrent interruption of the left pulmonary artery. Balloon angioplasty was performed, reducing the systolic flow velocity from 6.15 m/sec to 2.79 m/sec and relieving right ventricular pressure overload. One year later, thoracic radiography revealed left lung collapse and right lung hyperinflation; however, the patient remained asymptomatic. At 33 months post-diagnosis, the patient continued to thrive without any clinical signs.

摘要

一只4个月大的英国短毛猫因心脏杂音被转诊至我院评估。胸部X线摄影和超声心动图显示右肺动脉狭窄,伴有右心房扩张和右心室肥厚。狭窄病变处的收缩期血流速度为6.15米/秒,压力阶差为151.42毫米汞柱。计算机断层扫描证实右肺动脉缩窄并伴有左肺动脉中断。进行了球囊血管成形术,收缩期血流速度从6.15米/秒降至2.79米/秒,右心室压力过载得到缓解。一年后,胸部X线摄影显示左肺萎陷和右肺过度充气;然而,患者仍无症状。诊断后33个月,患者继续茁壮成长,无任何临床症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c492/12417721/1d301f10cecd/jvms-87-9-1078-g001.jpg

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