[两只猫因右主动脉弓导致食道狭窄】。]

IF 0.4 4区 农林科学 Q4 VETERINARY SCIENCES
Lena Mackus, Anja Masche, Robert Höpfner, Kay Schmerbach
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引用次数: 0

摘要

一只 3 个月大的猫和一只 4 岁大的猫因反胃前来就诊。这只幼猫自喂食固体食物后就出现了反胃症状,而且体型比同窝的猫小。这只 4 岁的猫在就诊前 5 天突然出现症状,但全身状况良好。两只猫在侧卧位时的胸部 X 光片均呈阳性对比,显示食管扩张,位于心底的头颅处,因此怀疑该区域有软组织密度高的异物。在这只 4 岁的猫身上,腹背胸片的检查结果与主动脉脱位和气管略微明显的局灶性左曲相符。小猫的超声心动图检查显示主动脉位于右侧,因此怀疑是主动脉脱位导致的血管环异常。在超声心动图检查中,并没有发现持续性动脉导管未闭导致的血流异常。由于这只年长的猫突然出现临床症状,又没有任何反流病史,因此对它进行了食管镜检查,以排除食管内狭窄的原因并取出异物。这只猫的计算机断层扫描成像还显示左锁骨下动脉异常。通过超声心动图诊断出幼猫环状异常的情况非常罕见。通过超声心动图诊断出幼猫食管环状畸形是非常罕见的,而在幼猫 4 岁时就诊断出因血管环状畸形导致的食管高度狭窄,且之前没有反流病史也是非常罕见的。术后 6 个月没有反流症状。据主人说,成年猫在接受拆线手术时全身状况良好,没有任何临床症状。不幸的是,这只成年猫失去了随访机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Esophageal stenosis as a result of a right aortic arch in 2 cats].

A 3-month-old and a 4-year-old cat were presented in the clinic due to regurgitation. The kitten had displayed the symptoms since it had been fed solid foods and was smaller than the litter mates. The 4-year-old cat showed sudden-onset symptoms for 5 days prior to presentation and had a good general condition. Positive contrast thoracic radiographs of both cats in lateral recumbency showed an esophageal dilatation cranial to the heart base and raised a suspicion of foreign material with soft tissue density in this area. In the 4-year-old cat, findings of ventrodorsal thoracic radiographs were compatible with a dextroposition of the aorta and a slightly marked focal left curve of the trachea. The echocardiographic examination of the kitten pictured a right sided aorta, hence a vascular ring anomaly with a dextroposition from the aorta was suspected. Aberrant blood flow as it is seen in a persistent ductus arteriosus was not apparent in the echocardiography. As a result of the sudden development of the clinical signs in the older cat without displaying any former history of regurgitation, an esophagoscopy was performed to exclude an intraluminal esophageal cause for the stricture as well as to extract the foreign material. In this cat, computed tomography imaging also displayed an aberrant left subclavian artery. Both cats recovered well after surgical correction.The diagnosis of a ring anomaly in the kitten via echocardiography is a rare situation. As is the diagnosis of a high-grade esophageal stricture due to a vascular ring anomaly at the age of 4 without a former history of regurgitation.Recovery was excellent in the younger cat. There were no signs of regurgitation 6 months after surgery. The adult cat was in good general condition without clinical symptoms according to the owners when presented for stitch removal. Unfortunately, the adult cat was lost to follow up.

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来源期刊
CiteScore
0.80
自引率
16.70%
发文量
108
期刊介绍: Die Tierärztliche Praxis wendet sich mit ihren beiden Reihen als einzige veterinärmedizinische Fachzeitschrift explizit an den Großtier- bzw. Kleintierpraktiker und garantiert damit eine zielgruppengenaue Ansprache. Für den Spezialisten bietet sie Original- oder Übersichtsartikel zu neuen Therapie- und Operationsverfahren oder den Einsatz moderner bildgebender Verfahren. Der weniger spezialisierte Tierarzt oder Berufseinsteiger findet auf seinen Berufsalltag zugeschnittene praxisbezogene Beiträge in der Fortbildungsrubrik „Aus Studium und Praxis“. Mit dem hervorgehobenen „Fazit für die Praxis“ am Ende jedes Artikels verschafft sich auch der eilige Leser einen raschen Überblick über die wichtigsten Inhalte dieser modern konzipierten Fachzeitschrift mit den vielen hochwertigen, überwiegend farbigen Abbildungen. In jedem Heft ermöglicht ein ATF-anerkannter Fortbildungsartikel den Erwerb einer ATF-Stunde (Akademie für tierärztliche Fortbildung).
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