Telangiectasis in Canine Heart Valves*

The history of veterinary cardiology

Throughout civilization, animals have played a pivotal role in the advancement of science and medicine. From as early as 400 BC when Hippocrates recognized that diseases had natural causes, the steadfast advances made by biologists, scientists, physicians and scholars were fueled by timely and important facts and information- much of it gained through animal observations that contributed importantly to understanding anatomy, physiology, and pathology. There have been many breakthroughs and historic developments. For example, William Harvey in the 16th and 17th centuries clarified the importance of the circulatory system, aided by observations in dogs and pigs, which helped to clarify and confirm his concepts. The nineteenth century witnessed advances in physical examination techniques including auscultation and percussion. These helped create the basis for enhanced proficiency in clinical cardiology. An explosion of technologic advances that followed in the 20th century have made possible sophisticated, accurate, and non-invasive diagnostics. This permitted rapid patient assessment, effective monitoring, the development of new cardiotonic drugs, clinical trials to assess efficacy, and multi-therapy strategies. The latter 20th century has marshaled a dizzying array of advances in medical genetics and molecular science, expanding the frontiers of etiologies and disease mechanisms in man, with important implications for animal health. Veterinary medicine has evolved during the last half century, from a trade designed to serve agrarian cultures, to a diverse profession supporting an array of career opportunities ranging from private, specialty practice, to highly organized, specialized medicine and subspecialty academic training programs in cardiology and allied disciplines.

Morphologic aspects and morphogenesis of blood cysts on canine cardiac valves

We investigated retrospectively the morphologic aspects of blood cysts of the atrioventricular valve in eight Beagle dogs and clarified the morphogenesis of the lesions. Study of serial sections revealed that the cysts communicate with the blood vessels; however, they showed no connection with the valve surface. Immunohistochemically, the thin endothelium of the lesions showed positive staining for factor VIII-related antigen. Histologic studies of a variety of sizes of blood cysts revealed four basic stages of blood cyst formation: 1) initially, the involved blood vessel undergoes only a slight enlargement that is not grossly detectable; 2) next, the vessel becomes moderately or markedly dilated and contains a large number of erythrocytes. The changes of this stage are macroscopically detectable; and 3) then, blood flow is arrested partly in the cystic lesion, followed by degeneration and necrosis of the cyst. At this third stage, fibrous tissue or dense collagenous connective tissue is usually seen surrounding the cyst; 4) and finally, metaplastic bone is formed within the lesion. Colloidal carbon infusion into the valves of normal canine hearts revealed the presence of an extensive, dense arrangement of blood vessels in the septal leaflet of the tricuspid valve, which usually is the recognized site to develop blood cysts.

Lesions of spontaneous subclinical disease in Beagle dogs

Postmortem examination of 1000 commercially bred Beagle dogs used in 39 drug-safety evaluations showed a spectrum of concurrent lesions of spontaneous, subclinical disease that was used to develop a profile of lesions. This profile included the gross observations and the histopathologic findings in at least 36 different tissues from 647 of these dogs. The incidence, sex distribution, and etiologic classification of 77 different spontaneous lesions and the occurrence of four species of parasites are indicated. The profile provides a means of differentiating concurrent, spontaneous lesions from those induced by experimental procedures in ‘normal’ Beagle dogs.