狗肺动脉瓣狭窄与其他先天性心脏缺陷的合并症

А. А. Trunov
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摘要

本文介绍了对被诊断为肺动脉瓣狭窄的不同品种犬的各种先天性心脏缺陷组合进行鉴定的统计结果。该研究是一项回顾性研究,在普通外科、私人外科和手术外科以及兽医神经病学、创伤学和重症监护诊所进行。样本总数为100只动物。 所有动物都接受了全面的身体检查。对心脏的形态功能状态进行了评估。使用多普勒超声心动图进行诊断。 对每种先天性心脏缺陷都进行了单独评估和研究,注意到其各自的特征以及几种先天性心脏发育异常合并时的血流动力学变化。 这项研究是在通过肺动脉瓣球囊成形术手术治疗肺动脉瓣狭窄之前进行的。除了右心室流出道阻塞性疾病外,这项研究还包括患有其他心脏畸形的动物。在 100 只接受检查的狗中,最常见的合并心脏缺陷是法洛氏四联症。这种病变被单独挑出来,因为它的发育机制与几种心脏发育异常的简单组合有很大不同。据认为,这是一种由多种成分组成的心脏缺陷。此外,房室间隔缺损、二尖瓣或三尖瓣发育不良、动脉导管未闭和主动脉瓣狭窄也与肺动脉瓣狭窄同时出现。在这项研究中,法国斗牛犬是最常见的合并心脏缺陷的犬种,因为它是最常被诊断出肺动脉瓣狭窄的犬种。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Combinations of pulmonary artery valve stenosis with other congenital heart defects in dogs
The  paper  presents  statistical  results  of identifying combinations of various congenital heart defects in dogs of different breeds diagnosed with pulmonary artery valve stenosis. The study was retrospective, conducted on the basis of the Department of General, Private and Operative Surgery, as well as in the veterinary clinic of neurology, traumatology and intensive care. The total sample  amounted  to  100  animals.  All  animals underwent a complete physical examination. The morphofunctional state of the heart was evaluated. Diagnosis was made by echocardiography  using  Doppler.  Each  congenital heart defect was evaluated and studied separately, noting its individual features and hemodynamic  changes  in  the  combination  of several congenital anomalies of heart development.  The  study  was  conducted  before performing surgical treatment of pulmonary artery valve stenosis by balloon plasty of the pulmonary artery valve. This study included animals with other cardiac anomalies in addition  to  obstructive  right  ventricular  outflow tract disease. Among 100 dogs examined, the most frequent combined heart defect was Fallot's tetrad. This pathology was singled out separately, as its mechanism of development  differs  significantly  from  a simple combination of several anomalies of heart development. It is believed that this is one heart defect consisting of several components. In addition, atrial septal defect, mitral or tricuspid valve dysplasia, open ductus arteriosus,  and  aortic  valve  stenosis  were found in combination with pulmonary valve stenosis. Combined heart defects were most common  in  French  Bulldog  dogs  in  this study, as this is the most common breed of dog diagnosed with pulmonary valve stenosis.
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