한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제28권6호
  • /
  • Pages.591-594
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  • 2011
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  • 1598-298X(pISSN)
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  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지

개에서 Amplatzer$^{(R)}$ vascular plug를 이용한 동맥관개존증의 폐쇄 2 증례

Transcatheter Closure of Patent Ductus Arteriosus with a Amplatzer$^{(R)}$ Vascular Plug in Two Dogs

  • 강민희 (건국대학교 수의과대학 내과학교실) ;
  • 김정현 (건국대학교 수의과대학 내과학교실) ;
  • 문소정 (건국대학교 수의과대학 내과학교실) ;
  • 김승곤 (건국대학교 수의과대학 내과학교실) ;
  • 여정진 (건국대학교 수의과대학 내과학교실) ;
  • 이창민 (건국대학교 수의과대학 내과학교실) ;
  • 박희명 (건국대학교 수의과대학 내과학교실)
  • Kang, Min-Hee (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Diseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Kim, Jung-hyun (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Diseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Moon, So-Jeung (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Diseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Kim, Seung-gon (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Diseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Yeo, Jung-Jin (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Diseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Lee, Chang-Min (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Diseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Park, Hee-Myung (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Diseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University)
  • 심사 : 2011.11.07
  • 발행 : 2011.12.31
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초록

9개월령의 암컷 말티즈견과 1년령의 암컷 비글견이 지속성 심잡음을 주증으로 내원 하였다. 두 환축은 2차원 심초음파 및 심혈관조영술을 통해 동맥관개존증 (PDA)으로 진단되었다. 평가된 환축들의 동맥관 사이즈는 비교적 큰 편이었으며, 혈관 폐색장치 중 Amplatzer$^{(R)}$ vascular plug를 통한 동맥관의 폐쇄술이 시도 되었다. 말티즈 견의 경우, Amplatzer$^{(R)}$ vascular plug를 이용하여 동맥관의 완전폐쇄가 이루어 졌으며, 폐쇄직후 지속성 심잡음이 사라졌다. 비글견의 경우, Amplatzer$^{(R)}$ vascular plug 삽입 후 심잡음이 줄어들긴 했지만, 심혈관 조영검사에서 잔류혈류가 관찰되었다. 시술의 안전성 및 시술 후 합병증은 두 환자 모두에서 지속적으로 모니터링 되었다. 본 2 증례는, Amplatzer$^{(R)}$ vascular plug를 이용한 성공적인 동맥관개존증 폐쇄술에 대한 국내 첫 증례보고이다.

A 9-month-old, intact female Maltese dog and one-year-old, intact female beagle dog were presented with continuous heart murmur. These 2 dogs were diagnosed as patent ductus arteriosus (PDA) based on the two-dimensional echocardiography and angiography. Due to the large shunt size, commercially available ductal occlude device was used for transcatheter occlusion of PDA. After Amplatzer$^{(R)}$ vascular plug placement, cardiac murmur was abruptly disappeared in Maltese dog and mildly decreased in beagle dog. Complications and safety after the procedure were evaluated regularly in these 2 dogs. This is first clinical application of Amplatzer$^{(R)}$ vascular plug for transcatheter closure of PDA in two dogs in Korea.

키워드

참고문헌

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