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KMID : 1094020140310040298
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Journal of Veterinary Clinics
2014 Volume.31 No. 4 p.298 ~ p.302
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Interventional Approaches for Treatment of Saddle Embolus in Two Cats with Hypertrophic Cardiomyopathy
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Kang Min-Hee
Park Hee-Myung
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Abstract
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An 8-year-old castrated male domestic shorthair cat (Case 1) and 3-year-old castrated male Siamese cat(Case 2) was presented with acute paresis of the hindlimbs, constant open-mouth breathing, and hemoptysis. Heartmurmur (Case 1) and gallop sound (Case 2) was ausculated on the left heart base. Radiographs revealed alveolarinfiltration of the caudodorsal lung lobes with aerophagea in Case 1 and prominent cardiomegaly in Case 2. Markedconcentric hypertrophy of the ventricular septum and free wall, and left atrial enlargement was detected throughechocardiography in both cats. Based on the examinations including echocardiography, those cats were diagnosed ashypertropic cardiomyopathy. Abdominal ultrasound revealed echogenic material in the aortic trifurcation region, aorticthromboembolism (ATE). Although prognosis of those animals was guarded, interventional therapeutic approach throughdirect endovascular thrombolytic therapy was attempted. ATE was visualized through angiography; however dissolvingthe embolus using interventional thrombolytic approach was not successful due to the extensive thrombus.
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KEYWORD
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Interventional treatment, Aortic thromboembolis, Feline, Hypertrophic Cardiomyopathy
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