دورية أكاديمية
Pulmonary artery dissection following pulmonary balloon valvuloplasty in dogs.
| العنوان: | Pulmonary artery dissection following pulmonary balloon valvuloplasty in dogs. |
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| المؤلفون: | Mikulak H; University of Minnesota, Veterinary Medical Center, St. Paul, MN, USA., Morgan KRS; University of Minnesota, Veterinary Medical Center, St. Paul, MN, USA. Electronic address: morg0332@umn.edu., Fundingsland S; University of Minnesota, Veterinary Medical Center, St. Paul, MN, USA., Stauthammer CD; University of Minnesota, Veterinary Medical Center, St. Paul, MN, USA. |
| المصدر: | Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology [J Vet Cardiol] 2022 Dec; Vol. 44, pp. 48-56. Date of Electronic Publication: 2022 Sep 30. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 101163270 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1875-0834 (Electronic) Linking ISSN: 17602734 NLM ISO Abbreviation: J Vet Cardiol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2005->: Amsterdam : Elsevier Original Publication: Bern, Switzerland : European Society of Veterinary Cardiology |
| مواضيع طبية MeSH: | Balloon Valvuloplasty*/adverse effects , Balloon Valvuloplasty*/veterinary , Balloon Valvuloplasty*/methods , Dog Diseases*/etiology , Dog Diseases*/therapy , Pulmonary Valve Stenosis*/etiology , Pulmonary Valve Stenosis*/therapy , Pulmonary Valve Stenosis*/veterinary , Aortic Dissection*/etiology , Aortic Dissection*/therapy , Aortic Dissection*/veterinary, Dogs ; Animals ; Pulmonary Artery ; Echocardiography/veterinary ; Treatment Outcome |
| مستخلص: | Introduction/objectives: Pulmonary artery dissection is a rare complication following balloon valvuloplasty for pulmonic stenosis. We sought to report the rate of this complication in dogs and describe the demographic, clinical, procedural, and outcome data in affected dogs. Animals, Materials and Methods: Medical records at a single academic institution between 2002 and 2021 were reviewed for dogs with pulmonic stenosis treated by a balloon valvuloplasty. Dogs were included for evaluation if there was evidence of pulmonary artery dissection on echocardiography or necropsy following balloon valvuloplasty. The demographic, clinical, surgical, and follow-up information were then recorded. Results: Six dogs were included from 210 balloon valvuloplasty procedures for pulmonic stenosis giving a 3.9% rate of pulmonary dissection. There was a variety of signalment, pulmonary valve morphologies, and balloon catheter types used in each dog. All dogs had severe pulmonic stenosis (median pressure gradient of 208 mmHg, range 94-220 mmHg) with 5/6 dogs having a pressure gradient >144 mmHg. The median balloon to pulmonary valve annulus ratio was 1.35 (range 1.25-1.5). Three dogs died perioperatively, and three dogs were alive at follow up 3.3, 4.0, and 4.1 years postoperatively. Conclusion: Pulmonary artery dissection is a rare complication following balloon valvuloplasty for pulmonic stenosis. Extreme elevations in preoperative pulmonary valve flow velocity were common. Prognosis is variable, with a potential 50% perioperative survival rate, but extended survival times were noted in those patients discharged from hospital. Competing Interests: Conflicts of Interest Statement The authors declare no conflicts of interest relative to this work. (Copyright © 2022. Published by Elsevier B.V.) |
| فهرسة مساهمة: | Keywords: Canine; Complication; Intervention; Pulmonic stenosis |
| تواريخ الأحداث: | Date Created: 20221112 Date Completed: 20221220 Latest Revision: 20221222 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.jvc.2022.09.004 |
| PMID: | 36370467 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1875-0834 |
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| DOI: | 10.1016/j.jvc.2022.09.004 |