Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Heartworm Extraction in a Pitbull Terrier Dog with Heavy Worm Burden Using A Loop Snare

심한 심장사상충 감염증에 걸린 핏불테리어 개에서 Loop Snare를 이용한 심장사상충 제거술

  • Kim, Ji-Yoon (Section of Small Animal Internal Medicine, College of Veterinary Medicine, Kangwon National University) ;
  • Yoon, Won-Kyoung (Guardian Angel Animal Hospital) ;
  • Yang, Hye-Mi (Section of Small Animal Internal Medicine, College of Veterinary Medicine, Kangwon National University) ;
  • Choi, Won-Jin (Section of Small Animal Internal Medicine, College of Veterinary Medicine, Kangwon National University) ;
  • Kim, Hyun-Wook (Haemaru Animal Referral Centre) ;
  • Hyun, Changbaig (Section of Small Animal Internal Medicine, College of Veterinary Medicine, Kangwon National University)
  • 김지윤 (강원대학교 수의과대학 소동물 내과교실) ;
  • 윤원경 (안양 수호천사 동물병원) ;
  • 양혜미 (강원대학교 수의과대학 소동물 내과교실) ;
  • 최원진 (강원대학교 수의과대학 소동물 내과교실) ;
  • 김현욱 (해마루 동물병원) ;
  • 현창백 (강원대학교 수의과대학 소동물 내과교실)
  • Accepted : 2014.10.14
  • Published : 2014.10.31
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Abstract

A 7-year-old intact male Pitbull terrier dog was presented with complaints of marked abdominal distension and severe exercise intolerance. Diagnostic studies found a right-sided cardiomegaly with marked dilation of pulmonary arteries, diffuse interstitial pulmonary infiltration and heavy worm burden in the right atrium and ventricle. Color and spectral Doppler echocardiography also revealed tricuspid and pulmonic regurgitation indicating severe pulmonary hypertension. The 104 heartworms were removed by interventional extraction using a loop snare (Snare, Boston Scientific, USA) through external jugular vein. After heartworm removals, the clinical condition of this dog was remarkably improved. To author's best knowledge, this is the first case of interventional heartworm extraction using a loop snare in Korea.

7년령 수컷 핏불테리어에서 두드러진 복부팽창과 심각한 운동 불내성으로 내원했다. 진단검사에서 우심의 확장과 확연한 폐동맥의 확장, 간질성 폐침윤과 우심방과 우심실에 많은 수의 사상충이 발견 되었다. 심초음파의 컬러와 연속 도플러에서 역시 심각한 폐성 고혈압을 동반한 삼첨판과 폐동맥의 역류가 나타났다. 104마리의 심장사상충이 루프 스네어(Snare, Boston Scientific, USA)를 이용한 심장중재술을 통해 제거되었다. 사상충의 제거 후 임상컨디션은 눈에 뛰게 회복되었다. 본 증례는 한국에서 첫 번째로 시행된 루프를 이용한 사상충 제거 케이스이다.

Keywords

References

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