Buchanan J W, Beardow A W, Sammarco C D
Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia 19104-6010, USA.
J Am Vet Med Assoc. 1997 Oct 1;211(7):872-4.
To investigate development of femoral artery occlusion in Cavalier King Charles Spaniels.
Prospective study.
954 Cavalier King Charles Spaniels.
1,750 cardiovascular examinations consisting of visual inspection of mucous membranes, thoracic auscultation in areas associated with the heart valves, thoracic palpation, and palpation of the femoral arteries were made at 10 dog shows on 954 dogs. Findings of clinically normal, weak, or undetectable femoral pulses were recorded. Pathologic changes in occluded femoral arteries of 2 dogs were examined histologically.
Of the 954 dogs, 22 (2.3%) had an undetectable right or left femoral pulse on 1 or more examinations. Forty (4.2%) additional dogs had weak unilateral or bilateral femoral pulses. Only 1 dog had exercise intolerance, and it had coexistent congestive heart failure. Histologic examination of serial sections of an occluded femoral artery from 1 dog revealed intimal thickening with breaks in the internal elastic lamina proximal to the occluded segment. The occluded segment of the femoral artery was contracted and filled with an organizing, recanalizing thrombus. Similar histopathologic changes were found in sections of a femoral artery from another dog.
Femoral artery occlusion is rare in other breeds and is not clinically important in dogs because of adequate collateral circulation; however, its rather common development in Cavalier King Charles Spaniels indicates a genetic predisposition and probable weakness in the femoral artery wall.
研究查理士王小猎犬股动脉闭塞的发展情况。
前瞻性研究。
954只查理士王小猎犬。
在10场犬展上对954只犬进行了1750次心血管检查,包括对黏膜的视诊、心脏瓣膜相关区域的胸部听诊、胸部触诊以及股动脉触诊。记录临床正常、微弱或无法触及的股动脉搏动情况。对2只犬闭塞股动脉的病理变化进行了组织学检查。
在954只犬中,22只(2.3%)在1次或多次检查中出现右侧或左侧股动脉搏动无法触及的情况。另外40只(4.2%)犬存在单侧或双侧股动脉搏动微弱的情况。只有1只犬有运动不耐受,且伴有充血性心力衰竭。对1只犬闭塞股动脉的连续切片进行组织学检查,发现闭塞段近端内膜增厚,内弹性膜中断。股动脉闭塞段收缩,充满机化、再通的血栓。在另一只犬的股动脉切片中也发现了类似的组织病理学变化。
股动脉闭塞在其他品种中罕见,在犬类中由于有足够的侧支循环,临床上并不重要;然而,其在查理士王小猎犬中相当常见的发生情况表明存在遗传易感性以及股动脉壁可能存在薄弱环节。