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題名 | 病例報告:於犬退行性僧帽瓣疾病繼發腱索斷裂進行經體外心肺循環下之僧帽瓣修復術=Case Report: Mitral Valve Repair under Cardiopulmonary Bypass in a Dog with Ruptured Chordae Tendineae Secondary to Degenerative Mitral Valve Disease |
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作者 | 李東儒; 上地正実; 洪榮偉; 鄭智嘉; 詹昆衛; | 書刊名 | 臺灣獸醫學雜誌 |
卷期 | 39:3 2013.09[民102.09] |
頁次 | 頁195-204 |
分類號 | 437.26 |
關鍵詞 | 退行性僧帽瓣疾病; 腱索斷裂; 僧帽瓣修復術; 體外循環; 犬; Degenerative mitral valve disease; Ruptured chordae tendineae; Mitral valve repair; Cardiopulmonary bypass; Dog; |
語文 | 中文(Chinese) |
中文摘要 | 本患犬為一隻體重7.15公斤,約6歲齡已絕育之雄性瑪爾濟斯犬,有完整疫苗、內外寄生蟲驅蟲記錄,並定期投予心絲蟲預防藥。患犬於民國101年6月下旬開始出現咳嗽情形,於2週後咳嗽情形加劇且呼吸急促,飼主遂於當日攜帶患犬至台北市專心動物醫院就診,於胸腔放射線影像學檢查可見心臟輪廓擴大與主支氣管上抬等情形,於心臟超音波影像學檢查可見有二尖瓣逆流、左心擴大及腱索斷裂等特徵影像,診斷為退行性僧帽瓣疾病繼發腱索斷裂,並開始給予心臟病內科藥物控制。約4個月後,飼主攜帶患犬至日本大學動物醫院就診,進行經體外心肺循環下之僧帽瓣修復手術,術後患犬恢復良好。最終診斷為犬之退行性僧帽瓣疾病繼發腱索斷裂。 |
英文摘要 | A 7.15 Kg, 6-year-old male castrated Maltese with a history of cough was presented tachypnea and referred to the Cardiospecial Veterinary Hospital on July 16. Thoracic radiography showed generalized cardiomegaly with VHS scale of 11.6 vertebrae. Pulmonary edema was noted on right caudal lung lobe. Echocardiogram revealed ruptured chordae tendineae with severe mitral regurgitation, left atrium enlargement with LA/Ao of 2.06 and left ventricular eccentric hypertrophy. The dog was treated with internal medications for 3 months and scheduled for surgical repair at Nihon University Animal Medical Center on Oct. 15. The dog improved clinical signs and regained body weight post surgery. Both of the radiography and echocardiography findings revealed significant improvement of cardiac condition. Furthermore, the dog was no longer received internal medications but only antiplatelet agent for 3 months after discharge. A final diagnosis of ruptured chordae tendineae secondary to degenerative mitral valve disease was established. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。