Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Cardiac Hematoma with Pericardial Effusion in a Dog

개에서의 심낭삼출물을 동반한 심장혈종 1예

  • Lee, Jin-Ho (College of Veterinary Medicine, Chonbuk National University) ;
  • Chung, Tae-Ho (Department of Companion Animal Resources Science, Joongbu University) ;
  • Yoon, Sung-Tae (College of Veterinary Medicine, Chonbuk National University) ;
  • Kim, Seong-hyun (National Academy of Agricultural Science) ;
  • Kim, Min-Su (College of Veterinary Medicine, Chonbuk National University) ;
  • Park, Chul (College of Veterinary Medicine, Chonbuk National University)
  • 이진호 (전북대학교 수의과대학) ;
  • 정태호 (중부대학교 동물자원학과) ;
  • 윤성태 (전북대학교 수의과대학) ;
  • 김성현 (농촌진흥청 농업과학원) ;
  • 김민수 (전북대학교 수의과대학) ;
  • 박철 (전북대학교 수의과대학)
  • Accepted : 2015.10.23
  • Published : 2015.10.30
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Abstract

A 12-year-old spayed female, Golden Retriever presented with dyspnea and lethargy of 3 months duration. Pericardial effusion and cardiac mass were identified on echocardiography. Pericardiectomy and mass resection were performed for treatment of pericardial effusion and histopathological analysis was conducted for the definitive diagnosis. The mass was diagnosed as hematoma with mainly erythrocyte, fibrin and many of neutrophils based on microscopic description. Severe purulent pericarditis thickened by inflammatory cells and reactive fibrous tissue were identified, but not diagnosed as neoplasm. This is the first case report in veterinary literature of a dog with pericardial effusion caused by cardiac hematoma.

12년령의 중성화한 암컷 골든레트리버가 3개월간의 호흡곤란과 기력저하를 주호소로 내원하였다. 심낭삼출물과 심장부위의 종괴가 심장초음파 상에서 확인되었다. 심낭절제술과 종괴 제거가 이루어졌으며 확진을 위해 조직검사를 수행하였다. 종괴는 현미경 검사 상에서 적혈구와 피브린, 호중구로 이루어진 혈종임이 확인되었다. 염증세포와 반응성 섬유 조직에 의해 두꺼워진 중증의 화농성 심낭염 소견이 확인되었으며, 종양 소견은 관찰되지 않았다. 이 증례는 수의학에서 개의 심장혈종에 의한 심낭삼출물 발생의 최초 보고이다.

Keywords

References

  1. Alistair F, Eduardo FM, Fraser M, Gemma FV, Joanna DM, Mary T. Septic pericarditis and myocardial abscess in an english springer spaniel. J Vet Cardiol 2014; 16: 39-44. https://doi.org/10.1016/j.jvc.2013.09.002
  2. Aupperle H, Buschatz S, Ellenberger C, Marz I, Reischauer A, Schoon H. Primary and secondary heart tumours in dogs and cats. J Comp Pathol 2007; 136: 18-26. https://doi.org/10.1016/j.jcpa.2006.10.002
  3. Beck J, Church D, Hunt G, Simpson D. Benign masses in the pericardium of two dogs. Aust Vet J 1999; 77: 225-229. https://doi.org/10.1111/j.1751-0813.1999.tb11706.x
  4. Binns S, Martin M, Day MJ, Stafford J. A retrospective study of clinical findings, treatment and outcome in 143 dogs with pericardial effusion. J Small Anim Pract 2004; 45: 546-552. https://doi.org/10.1111/j.1748-5827.2004.tb00202.x
  5. Daisuke N, Hiroshi O, Hiroyuki W, Kentaro S, Kotaro O, Masahiko N, Minoru T, Nobuhiko H, Takahiro K, Tomoko N, Yoshio K, Yuju K. A case of right ventricular diastolic dysfunction due to a large hematoma posterior to the left ventricle. JC Cases 2015; 12: 8-11.
  6. Daniel J, David E, Dorothy C, Erin D. Survival times of and prognostic indicator for dogs with heart base masses:25 cases (1986-1999). J Am Vet Med Assoc 2001; 219: 485-487. https://doi.org/10.2460/javma.2001.219.485
  7. David HS. Acute cardiac tamponade. N Engl J Med 2003; 349: 684-690. https://doi.org/10.1056/NEJMra022643
  8. Dohan A, Darnige L, Sapoval M, Pellerin O. Hematomes spontanes des parties molles. Diagn Interv Radiol 2015; 96: 347-355.
  9. Dylan VM, Joseph AD, Michael EF, Shaji CM, William DE. Hamartomas of mature cardiac myocytes: report of 7 new cases and review of literature. Hum Pathol 2008; 39: 1064-1071. https://doi.org/10.1016/j.humpath.2007.11.014
  10. Miller MW, Sisson DD. Pericardial disorders. In: Textbook of veterinary internal medicine 4th ed. 1995; 1032-1045.
  11. John R, Scott S. Canine pericardial effusion: diagnosis, treatment, and prognosis. Compend Contin Educ Vet 2007; 29: 405-411.