Left pulmonary arterial branch interruption with concurrent coarctation of the right pulmonary artery in a dog.

This case report describes a rare disorder of a left pulmonary artery interruption with concurrent coarctation of the right pulmonary artery in a dog. A 5-year-old, male neutered, mixed-breed dog presented for evaluation of an asymptomatic heart murmur. Echocardiography and computed tomography revealed complete interruption of the proximal left pulmonary artery and coarctation of the right pulmonary artery. Collateral circulation to the left lung field was provided by a dilated bronchoesophageal artery with evidence of left pulmonary hypoplasia. Pulmonary artery interruption and coarctation is rarely reported in the veterinary literature.

Sudden death in a dog with aortic coarctation.

A previously healthy, one-year-old, intact female Vizsla dog collapsed and experienced cardiopulmonary arrest after a stressful event. Postmortem examination identified juxtaductal aortic coarctation (AoCo) with complex morphology. Located in the isthmus aorta adjacent to the ligamentum arteriosum, the AoCo comprised a shelf-like structure caused by invagination of the aortic wall into the lumen. Just distally, a second region of aortic occlusion resulted from an obstructing aortic membrane that restricted blood flow into the descending aorta through a small, eccentric ostium. Plausibly, the AoCo contributed to high afterload which led to reduction of coronary blood flow, myocardial hypoxia, and sudden death during physical stress. Although AoCo is a well-recognized congenital defect in humans, it has been reported only rarely in animals. The present case details the gross and histologic features of a complex, juxtaductal AoCo in a dog who died suddenly after stress. These morphologic findings may be informative when contemplating diagnosis of this anomaly.

Computed tomography angiography of coarctation of the aorta in a dog.

Coarctation of the aorta has been described previously as either a post-mortem or angiographic finding in three dogs with clinical signs related to the aortic coarctation. A 10-year-old dog was presented for evaluation of suspected laryngeal paralysis. On physical examination, femoral pulses were absent bilaterally, with an indirect systolic blood pressure difference of 60 mmHg between the ipsilateral thoracic and pelvic limbs. Coarctation of the aorta was detected on a thoracic computed tomographic angiography study. The coarctation was pre-ductal in position, with extensive dilation of the descending thoracic aorta. Characteristic rib changes that are seen in humans with coarctation were not apparent in this dog. 3D reconstructions of the thorax provided high vascular definition with exact localization of the aortic narrowing.

Juxtaductal coarctation of both pulmonary arteries in a cat.

A 4-year-old, male, neutered cat was referred because of recurrent episodes of dyspnea. Physical examination revealed a harsh systolic murmur, with the point of maximal intensity in the left heart base, with an intensity of 4 out of 6. Echocardiographic diagnosis was severe supravalvular pulmonary artery stenosis. A selective right ventricular angiocardiogram showed an absence of arterial blood flow to the left lung lobes. A balloon dilatation of the localized stenosis of the right pulmonary artery was attempted with cardiac catheterization. However, when the catheter was passed through the stenosis, the blood flow to the lungs temporarily completely ceased, which led to death. Postmortem examination revealed a circumscribed stenosis of both pulmonary arteries at the site of the bifurcation, where the ligamentum arteriosum was attached. Histopathology showed that the localized ridge-like stenosis at the pulmonary artery bifurcation was caused by connective tissue. The suspected cause of this congenital anomaly is the presence of ectopic ductal tissue in the wall of the pulmonary artery. When the ductus arteriosus closes at birth, pulmonary artery stenosis developed because of constriction of the ectopic ductal tissue.

Vascular ring anomaly with coarctation of the aorta in a cat.

A 13-week-old, entire male domestic shorthaired cat was presented with a nine-week history of regurgitation following the ingestion of food. A diagnosis of a vascular ring anomaly with coarctation of the aorta was based on clinical signs, angiography and echocardiography. Surgical exploration via a right lateral thoracotomy confirmed the existence of a persistent right aortic arch with right ligamentum arteriosum, aortic coarctation and an aberrant left subclavian artery. Following the surgical transection of the aberrant left subclavian artery, the cat made an uneventful recovery, showing normal swallowing function with no evidence of regurgitation. Twelve months after surgery, the cat had no special dietary requirements and remained clinically normal.

Preductal aortic coarctation and patent ductus arteriosus in a Sumatran tiger (Panthera tigris sumatrae) cub.

Preductal aortic coarctation and patent ductus arteriosus are described in a neonatal Sumatran tiger, Panthera tigris sumatrae. Eight days postpartum, the cub appeared weak, and it was separated from the dam for hand rearing. On examination it was dehydrated and hypothermic. Despite treatment, the animal's condition worsened and the cub died 12 days postpartum. Gross postmortem and histologic examinations revealed a preductal aortic coarctation and patent ductus arteriosus with a patent foramen ovale and moderate dilatation of the right ventricle of the heart. Focal pneumonia and mild hepatitis were also present; however, diffuse pulmonary congestion and edema were considered to be the proximate cause of death.

Coarctatio aortae in pigs: a morphological approach.

Two types of coarctatio aortae in pigs are described. In the juvenile type the, funnel-shaped, narrowing in the arcus aortae was located between the origin of the a. subclavia sinistra and the aortic end of the ductus arteriosus or ligamentum arteriosum. Until now, this type has been observed only in animals with other heart anomalies. In the adult type, the narrowing of the arcus aortae was crescent-shaped and was located at the aortic end of the ductus arteriosus or ligamentum arteriosum. Histologic examination of parts of the funnel-shaped and the crescent-shaped narrowing revealed that the two types of coarctatio aortae develop differently.

[Morphology and congenital pathology of the heart of the common seal (Phoca vitulina vitulina) (An informative description) (author's transl)]. / De morfologie en de congenitale pathologie van het hart van de gewone zeehond (Phoca vitulina vitulina). (Een oriënterende beschrijving van de normnale morfologie en de congenitale pathologie).

The morphology and the congenital pathology of the heart of the common seal (Phoca vitulina vitulina) are described. Particular attention is drawn to the dorso-ventral flattening of the heart and the S-like course of the aortic arch. The following congenital malformations of th heart were discussed: (1) patent ductus arteriosus associated with a patent foramen ovale secundum and malposition of the entrance of the caudal caval vein: (2) aplasia of the origin of the left coronary artery: (3) coarctation of the aorta; (4) myocardial bridging. From this study of the heart of the common seal it is concluded that the resistance of the common seal to physical stress is poor. Survival of this animal in the Waddensea requires a quiet and undisturbed biotope.

Systolic time intervals in domestic ponies: alterations in a case of coarctation of the aorta.

This report describes the measurement of systolic time intervals in a nine year old female domestic pony which was found at necropsy to show coarctation of the aorta and bilateral ventricular hypertrophy. Electrocardiogram, phonocardiogram and direct arterial blood pressure were recorded from the pony in a standing unmedicated state and systolic time intervals were measured from the resulting tracings. A prolongation of left ventricular ejection time and shortening of the pre-ejection period were observed in comparison to a group of normal ponies similarly examined. Such changes are consistent with outflow tract obstruction. The pony was also hypotensive and this condition was interpreted as a long-term compensation for the obstructive lesion. It is likely that the changes in systolic time intervals were at this stage predominantly affected by the hypotension. The report notes that the existence of such a case of spontaneous cardiovascular disease in the pony population might suggest the utility of the animal as a resource in comparative cardiovascular physiology and medicine.