Closure of Patent Ductus Arteriosus with a Method of Double Ligation in a Dog

개에서 이중 결찰법을 통한 동맥관 개존증의 완치 예

  • Yoon, Heo-Young (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • Jung, Soon-Wook (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • Park, Hee-Myung (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Park, Chul (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Jung, Man-Bok (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • Kim, Jun-Young (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • Han, Hyun-Jung (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • Hwang, Min (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • No, Byung-Guk (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • Park, Sang-Hyuk (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • Jang, Ha-Young (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • Park, Jung-Yoon (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University)
  • 윤헌영 (건국대학교 수의과대학 수의외과학교실) ;
  • 정순욱 (건국대학교 수의과대학 수의외과학교실) ;
  • 박희명 (건국대학교 수의과대학 수의내과학교실) ;
  • 박철 (건국대학교 수의과대학 수의내과학교실) ;
  • 정만복 (건국대학교 수의과대학 수의외과학교실) ;
  • 김준영 (건국대학교 수의과대학 수의외과학교실) ;
  • 한현정 (건국대학교 수의과대학 수의외과학교실) ;
  • 황민 (건국대학교 수의과대학 수의외과학교실) ;
  • 노병국 (건국대학교 수의과대학 수의외과학교실) ;
  • 박상혁 (건국대학교 수의과대학 수의외과학교실) ;
  • 장하영 (건국대학교 수의과대학 수의외과학교실) ;
  • 박정윤 (건국대학교 수의과대학 수의외과학교실)
  • Published : 2004.03.01

Abstract

A ten months old, female Yorkshire terrier weighing 2.88 kg referred to veterinary leaching hospital of college of veterinary medicine, Konkuk University because of syncope, cough and dyspnea. First hematological and serum chemical test revealed thrombocytopenia, mild anemia, and increase of concentration of ALP (195 U/L). On 57 days later, second hematological and serum chemical test revealed polycythemia, increase of concentration of ALP (211 UR.), and Tchol (387 mg/dl). Right atrium enlargement, main pulmonary artery bulge and cardiomegaly (VHS = 11.5) were observed in radiographic findings. Ultrasohographic images showed both right and left ventricular dilation and turbulent flow between the descending aorta and the main pulmonary artery in color Doppler imaging. ECG showed left ventricular enlargement, SA block, and electrical alternant. Thoracotomy was performed through left fourth intercostal incision under isoflurane anesthesia. Patent ductus arteriosus was double ligated with 1-0 silk. Cough and dyspnea disappeared on 5 days after operation. Turbulent flow was not found in color doppler imaging of ultrasonography on 10 days after operation. Ten months later after the operation, syncope could not exist any more.

Keywords

References

  1. J Am Vet Med Assoc v.196 Results of ligation of patent ductus arteriosus in dogs: 201 cases(1969-1988) Birchard,S.J.;Bonagua,J.D.;Fingland,R.B.
  2. J Small Anim Pract v.36 A wire loop technique for ligation of patent ductus arteriosus Downs,M.O.
  3. Small Animal Surgery Fossum,T.W.
  4. J Vet Intern Med v.12 Nonsurgical transcatheter coil occlusion of patent ductus arteriosus in two dogs using a performed nitinol snare delivery technique Fox,P.R.;Bond,B.R.;Sommer,R.J.
  5. J Small Anim Pract v.43 Closure of large patent ductus arteriosus with a self-expanding duct occluder in two dogs Glaus,T.M.;Berger,F.;Ammann,F.W.;Klowski,W.;Ohlert,S.;Boller,M.;Kastner,S.;Reucch,C.E.;Sisson,D.
  6. Schweiz Arch Tierheilkd v.134 Patent ductus arteriosus in a dog: modified method of double ligation Huber,E.;Montabon,P.M.
  7. Vet Surg v.309 Intraoperative hemorrhage during patent ductus arteriosus ligation in dogs Hunt,G.B.;Sinpsom,D.J.;Beck,J.A.;Gold smid SE;Lawrenence,D.;Pearson,M.R.
  8. Small animal internal medicine(2nd ed.) Extracardiac Arteriovenous Shunts Nelson,R.W.;Gouto,C.G.
  9. Textbook of small animal surgery Slatter,D.
  10. J Am Vet Med Assoc v.199 What is your diagnosis? Radiologic diagnosis-patent ductus arteriosus Stickle,R.L.;Anderson,L.K.
  11. 한국임상수의학회지 v.19 동맥관 개존증을 보이는 개에서 개흉을 통한 동맥관 결찰술 엄기동;장광호;오태호;이영원;박수원;장동우;윤정희