Spontaneous pneumothorax in a dog secondary to Dirofilaria immitis infection.

A 5-year-old female spayed Labrador Retriever dog was referred to the Louisiana State University Veterinary Teaching Hospital for treatment of pneumothorax. Thoracic radiographs and computed tomography showed spontaneous pneumothorax, thoracic lymphadenopathy, pulmonary hypertension, and multifocal pulmonary bulla lesions. At surgery, numerous adult nematodes protruded from the parenchyma of the left caudal and accessory lung lobes and pulmonary arteries. On histopathology, multiple adult filarid nematodes were observed within the pulmonary blood vessels. Broad foci of necrosis of the pulmonary parenchyma were present. The tunica intima of the pulmonary arteries was markedly thickened by intimal fibrosis and medial hypertrophy. The final diagnosis was severe Dirofilaria immitis infection that resulted in pulmonary vascular lesions and focally extensive infarcts of the pulmonary parenchyma with bulla formation and rupture causing spontaneous pneumothorax. The dog received antibiotic and steroid therapy, as well as adulticide treatment, and recovered.

Spinal cord compression in a cat due to vertebral angiomatosis.

A 1-year-old cat was presented with general discomfort but no neurologic deficits on physical examination. An extradural spinal cord compression at the level of T10-11 and T11-12 was evident on myelography and computed tomography examination. Hemilaminectomy was performed to decompress the spinal cord. Histopathology of the abnormal pedicle and lamina revealed vertebral angiomatosis. This rare vascular malformation was the cause of the spinal cord compression in this cat. It is seen in cats less than 2 years of age and affected the thoracic spine in all four previously reported cases.

Characterization of normal canine anterior cruciate ligament-associated synoviocytes.

This study was designed to identify and quantify synoviocyte phenotypes enveloping the canine anterior cruciate ligament (ACL) to test the hypothesis that there are at least two synoviocyte phenotypes, each with distinct quantities and topographical distributions. CD18 and HSP25 epitopes were colocalized in the synovium of 10 normal canine ACLs. Sagittal sections were prepared from medial, central, and lateral aspects of each ACL and phenotypes were quantified in the proximal, middle, and distal aspects of each section. Distinct synoviocyte populations stained positive for CD18 (CD18+) or HSP25 (HSP25+), and a small population of cells stained for both epitopes (DS+). The proportion (mean +/- SEM) of HSP25+ synoviocytes (57% +/- 7.5%) was significantly greater than the proportion of CD18+ synoviocytes (27% +/- 8.2%), which was significantly greater than the proportion of DS+ synoviocytes (16% +/- 3.5%). Reverse transcriptase polymerase chain reaction (RT-PCR), Western blot analysis, and immunoelectron microscopy confirmed the presence of CD18 and HSP25 epitopes in the canine ACL. Identification and quantification of ACL synoviocytes may serve as the foundation for future studies involving ACL disease or reconstruction.

Repair of a coracoid luxation and a tibiotarsal fracture in a bald eagle (Haliaeetus leucocephalus).

A 4.5-kg, adult bald eagle (Haliaeetus leucocephalus) was presented after being found unable to fly. Crepitus was palpated in the left shoulder; however, the wing position was normal. Radiographs revealed caudoventral luxation of the left coracoid, affecting its distal articulation with the clavicle and its proximal articulation with the sternum. The luxation affecting the coracoid-sternum articulation was repaired by using a 4-hole, 1.5-mm T-plate and a 6-hole, 2.0-mm dynamic compression plate (DCP) placed side by side. The luxation affecting the coracoid and the clavicle was repaired by 2 cerclage wires in a simple interrupted pattern. Before a scheduled release, the bird sustained a closed, complete mid diaphyseal transverse fracture of the right tibiotarsus, which most likely occurred during recapture from the flight cage. The fracture was surgically repaired with 2 circumferential cerclage wires, an intramedullary Kirschner wire and one 10-hole, 2.7-mm DCP. The bird was successfully released, 105 days after the first surgery, near the location where it was found.

Evaluation of hemorrhage, sample size, and collateral damage for five hepatic biopsy methods in dogs.

OBJECTIVES: To compare the volume of hemorrhage, number of lobules, and portal triads available for histologic evaluation, and resultant collateral damage between 5 hepatic biopsy methods: biopsy punch, biopsy needle, ligature method, laparoscopic biopsy forceps, and ultrasonically activated scalpel (UAS). STUDY DESIGN: Experimental, repeated measures, block. ANIMALS: Twelve adult dogs. METHODS: Biopsies were obtained from the periphery and center of the left lateral liver lobe of each dog using each of 5 biopsy techniques. Hemorrhage was quantified and compared between methods and sites. Biopsy samples were evaluated histologically to characterize collateral damage and determine the number of lobules and portal triads sampled. RESULTS: Regardless of technique, liver biopsy resulted in minimal hemorrhage (<2 mL). For peripheral biopsies, UAS was comparable with the ligature method, but caused significantly less hemorrhage than all other methods, whereas for central biopsies, UAS caused significantly less hemorrhage than other methods. Except for the laparoscopic biopsy forceps, UAS caused significantly more collateral damage than other methods. UAS and ligature biopsy methods yielded specimens that had more portal triads per sample than other methods. Eight of 48 biopsy needle samples were inadequate for histologic evaluation, whereas other methods yielded adequate specimens. CONCLUSIONS: All biopsy methods produced minimal hemorrhage and except for needle biopsy yielded adequate tissue samples for histologic evaluation. CLINICAL RELEVANCE: Use of UAS is a reliable, safe alternative technique for liver biopsy and can be used laparoscopically to obtain large tissue samples.

Bursting tension of medium and large canine arteries sealed with ultrasonic energy or suture ligation.

OBJECTIVE: To compare bursting tension of arteries > or =3 mm in diameter sealed with ultrasonic energy (UE) with arteries ligated with suture. STUDY DESIGN: Experimental, nested factorial design. SAMPLE POPULATION: Vascular segments from canine cadavers. METHODS: Arterial segments (12) were collected from each of 16 canine cadavers and equally divided into 2 groups based on vessel diameter (medium, 3.0- < 4.5 mm; large, 4.5 - < or =6.0 mm). Arterial specimens (3) from each group were sealed with either UE (Harmonic Scalpel, HS, power level 3) or suture ligation. The mean bursting pressure and tension were determined and compared. RESULTS: Bursting tension was significantly higher (P< .0001) for sutured arteries than UE-occluded arteries, irrespective of size. Bursting tension was significantly higher (P=.0013) for medium than large UE-occluded arteries, whereas there was no difference associated with size for ligated arteries. UE energy failed to seal 1 medium artery and 7 large arteries. Compared with normal blood pressure, bursting pressures were 3.5 times greater for sutured arteries irrespective of size, 1.8 times greater for medium UE-occluded arteries, and approached normal blood pressure for large UE-occluded arteries. CONCLUSION: At the power level tested, UE should not be used to seal arteries > 4.5 mm in diameter. Suture provided an optimal seal for arteries < or =6.0 mm in diameter. CLINICAL RELEVANCE: Use of UE to occlude arteries during laparoscopic surgery is advantageous because only 1 instrument is required to simultaneously cut and coagulate tissue, but care should be exercised where large arteries might be encountered.