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Weingand N, He C, Grau-Roma L, Adamik KN. Chronic pericarditis and recurrent pericardial effusion of unknown origin in a kitten: a case report. Front Vet Sci 2024; 11:1347083. [PMID: 38952805 PMCID: PMC11216034 DOI: 10.3389/fvets.2024.1347083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Accepted: 05/27/2024] [Indexed: 07/03/2024] Open
Abstract
A 3-month-old kitten was presented after successful cardiopulmonary resuscitation, including a presumed intracardial injection by its primary care veterinarian. Throughout the subsequent hospitalization in the intensive care unit, the cat exhibited recurrent hemorrhagic pericardial effusions, along with concurrent pleural and abdominal effusions, resulting in multiple clinical deteriorations, necessitating pericardiocentesis and thoracocentesis. Despite more than 3 days of intensive care, the cat experienced another cardiopulmonary arrest with unsuccessful attempts to achieve the return of spontaneous circulation. Necropsy and histopathological findings revealed diffuse chronic-active pericarditis and hemorrhagic pericardial effusion, a condition that has not been documented in the context of cardiopulmonary resuscitation or pericardiocentesis.
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Affiliation(s)
- Nicole Weingand
- Division of Small Animal Emergency and Critical Care, Department of Clinical Veterinary Science, Vetsuisse Faculty, University of Bern, Bern, Switzerland
| | - Chang He
- Institute of Animal Pathology, Vetsuisse Faculty, University of Bern, Bern, Switzerland
| | - Llorenç Grau-Roma
- Institute of Animal Pathology, Vetsuisse Faculty, University of Bern, Bern, Switzerland
| | - Katja-Nicole Adamik
- Division of Small Animal Emergency and Critical Care, Department of Clinical Veterinary Science, Vetsuisse Faculty, University of Bern, Bern, Switzerland
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Derré MG, Findji L, McLauchlan G, Guilherme S. Surgical treatment of a circumferential oesophagogastric mass associated with a peritoneopericardial diaphragmatic hernia in a Maine Coon cat. JFMS Open Rep 2022; 8:20551169221090449. [PMID: 35547182 PMCID: PMC9083054 DOI: 10.1177/20551169221090449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Case summary A 7-month-old intact female Maine Coon presented with a 2-week history of vomiting. A peritoneopericardial diaphragmatic hernia (PPDH) and a mass arising from the cardia, protruding into the gastric lumen, were diagnosed using a combination of ultrasound and CT. An exploratory gastrotomy revealed a circumferential, irregular, ulcerated mass involving the submucosal layer of the cardia. This mass was excised by partial-thickness resection of the gastro-oesophageal wall. The PPDH was corrected and a gastrostomy feeding tube was placed under the same anaesthetic. Histopathologically, the most characteristic feature of this mass was a submucosal fibroplasia associated with marked ulceration and granulation tissue. No infectious or neoplastic cells were identified. The affected region of the gastric wall appeared narrowly excised. Resolution of clinical signs was achieved until the cat was lost to follow-up 12 months postoperatively. Relevance and novel information This is the first report of the surgical management of an oesophagogastric mass in a cat with a concurrent PPDH and no other underlying disease. A benign fibrous mass should be considered as a differential diagnosis of an oesophagogastric mass in feline patients with PPDH. While medical and surgical options are debated for the management of PPDH, symptomatic patients with a concurrent oesophagogastric mass are legitimate candidates for surgical herniorrhaphy to prevent further complications. Based on this case, prognosis can be considered good if surgical resection is complete.
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Affiliation(s)
- Maxime G Derré
- Fitzpatrick Referrals Oncology and Soft Tissue Hospital, Guildford, UK
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, West Lafayette, IN, USA
| | - Laurent Findji
- Fitzpatrick Referrals Oncology and Soft Tissue Hospital, Guildford, UK
| | - Gerard McLauchlan
- Fitzpatrick Referrals Oncology and Soft Tissue Hospital, Guildford, UK
| | - Sérgio Guilherme
- Fitzpatrick Referrals Oncology and Soft Tissue Hospital, Guildford, UK
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Lohinger C, Gumpenberger M, Kolm US, Degasperi B. Pneumopericardium with concomitant pericardial effusion following peritoneopericardial diaphragmatic hernia repair in a dog. VETERINARY RECORD CASE REPORTS 2022. [DOI: 10.1002/vrc2.278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Christian Lohinger
- Anaesthesia and Perioperative Intensive Care Unit, Department of Small Animals and Horses University of Veterinary Medicine Vienna Austria
| | - Michaela Gumpenberger
- Diagnostic Imaging, Department of Small Animals and Horses University of Veterinary Medicine Vienna Austria
| | - Ursula Susanne Kolm
- Internal Medicine Small Animals, Department of Small Animals and Horses University of Veterinary Medicine Vienna Austria
| | - Brigitte Degasperi
- Small Animal Surgery, Department of Small Animals and Horses University of Veterinary Medicine Vienna Austria
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Margolis C, Zakošek Pipan M, Demchur J, Or M, Henthorn P, Casal ML. Congenital peritoneopericardial diaphragmatic hernia in a family of Persian cats. JFMS Open Rep 2018; 4:2055116918804305. [PMID: 30327722 PMCID: PMC6178376 DOI: 10.1177/2055116918804305] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Case series summary The congenital midline defects of peritoneopericardial diaphragmatic hernia (PPDH) and omphalocele are believed to be related developmental defects, and have both been described in cats and dogs. This case series describes multiple cases of PPDH and omphalocele in related cats. The majority of cats affected with midline defects (PPDH or omphalocele) were male, consistent with previous reports of male overrepresentation. Relevance and novel information This is the first report of a family of Persian cats affected by PPDH and/or omphalocele. Clinical findings and pedigree information are suggestive of an autosomal recessive mode of inheritance. However, other modes of inheritance cannot be ruled out owing to limited sample size. The findings in this family and previous reports of Persians affected by PPDH warrant further investigation. Based on this information, recommendations for breeding populations of Persians and long-haired cats should include thoracic radiographs to screen for PPDH until a DNA-based genetic test is available.
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Affiliation(s)
- Carol Margolis
- Section of Medical Genetics, Department of Clinical Sciences and Advanced Medicine, MJ Ryan Veterinary Hospital of the University of Pennsylvania, Philadelphia, PA, USA
| | - Maja Zakošek Pipan
- Clinic for Reproduction and Large Animals, Veterinary Faculty, University of Ljubljana, Ljubljana, Slovenia
| | - Jolie Demchur
- Section of Medical Genetics, Department of Clinical Sciences and Advanced Medicine, MJ Ryan Veterinary Hospital of the University of Pennsylvania, Philadelphia, PA, USA
| | - Matan Or
- Section of Medical Genetics, Department of Clinical Sciences and Advanced Medicine, MJ Ryan Veterinary Hospital of the University of Pennsylvania, Philadelphia, PA, USA
| | - Paula Henthorn
- Section of Medical Genetics, Department of Clinical Sciences and Advanced Medicine, MJ Ryan Veterinary Hospital of the University of Pennsylvania, Philadelphia, PA, USA
| | - Margret L Casal
- Section of Medical Genetics, Department of Clinical Sciences and Advanced Medicine, MJ Ryan Veterinary Hospital of the University of Pennsylvania, Philadelphia, PA, USA
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Tagawa M, Kurashima C, Shimbo G, Omura H, Koyama K, Horiuchi N, Kobayashi Y, Kawamoto K, Miyahara K. Fibrinous pericarditis secondary to bacterial infection in a cat. J Vet Med Sci 2017; 79:957-961. [PMID: 28484098 PMCID: PMC5487798 DOI: 10.1292/jvms.17-0051] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
A three-year-old spayed domestic short-haired cat presented for evaluation of weight loss, cardiomegaly and pleural effusion. Echocardiographic examination demonstrated a thickened pericardium with mild pericardial effusion and a large volume of pleural effusion characterized by exudate. Although the cat was treated with antibiotics, the clinical symptoms did not improve. The cat developed dyspnea and died on day 7. Necropsy revealed a large amount of modified transudates ascites, pleural effusion and markedly dilated pericardium. Histopathological examination revealed severe exudation of fibrin and granulation tissue in a thick layer of the epicardium. The cat was diagnosed with fibrinous pericarditis secondary to bacterial infection.
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Affiliation(s)
- Michihito Tagawa
- Veterinary Medical Center, Obihiro University of Agriculture and Veterinary Medicine, Obihiro, Hokkaido 080-8555, Japan
| | - Chihiro Kurashima
- Veterinary Medical Center, Obihiro University of Agriculture and Veterinary Medicine, Obihiro, Hokkaido 080-8555, Japan
| | - Genya Shimbo
- Veterinary Medical Center, Obihiro University of Agriculture and Veterinary Medicine, Obihiro, Hokkaido 080-8555, Japan
| | - Hiroshi Omura
- Veterinary Medical Center, Obihiro University of Agriculture and Veterinary Medicine, Obihiro, Hokkaido 080-8555, Japan
| | - Kenji Koyama
- Department of Basic Veterinary Science, Obihiro University of Agriculture and Veterinary Medicine, Obihiro, Hokkaido 080-8555, Japan
| | - Noriyuki Horiuchi
- Department of Basic Veterinary Science, Obihiro University of Agriculture and Veterinary Medicine, Obihiro, Hokkaido 080-8555, Japan
| | - Yoshiyasu Kobayashi
- Department of Basic Veterinary Science, Obihiro University of Agriculture and Veterinary Medicine, Obihiro, Hokkaido 080-8555, Japan
| | - Keiko Kawamoto
- Diagnostic Center for Animal Health and Food Safety, Obihiro University of Agriculture and Veterinary Medicine, Obihiro, Hokkaido 080-8555, Japan
| | - Kazuro Miyahara
- Veterinary Medical Center, Obihiro University of Agriculture and Veterinary Medicine, Obihiro, Hokkaido 080-8555, Japan
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Sequential segmental classification of feline congenital heart disease. J Vet Cardiol 2016; 17 Suppl 1:S10-52. [PMID: 26776571 DOI: 10.1016/j.jvc.2015.04.005] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2014] [Revised: 04/01/2015] [Accepted: 04/21/2015] [Indexed: 12/17/2022]
Abstract
Feline congenital heart disease is less commonly encountered in veterinary medicine than acquired feline heart diseases such as cardiomyopathy. Understanding the wide spectrum of congenital cardiovascular disease demands a familiarity with a variety of lesions, occurring both in isolation and in combination, along with an appreciation of complex nomenclature and variable classification schemes. This review begins with an overview of congenital heart disease in the cat, including proposed etiologies and prevalence, examination approaches, and principles of therapy. Specific congenital defects are presented and organized by a sequential segmental classification with respect to their morphologic lesions. Highlights of diagnosis, treatment options, and prognosis are offered. It is hoped that this review will provide a framework for approaching congenital heart disease in the cat, and more broadly in other animal species based on the sequential segmental approach, which represents an adaptation of the common methodology used in children and adults with congenital heart disease.
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