Complete transposition of the aorta and pulmonary artery in a Belgian Blue crossbreed calf: A case report
| Autor: | Gruenberg, W., van Bruggen, L.W.L., Eisenberg, S.W., Weerts, E.A.W.S., Wolfer, A., Advances in Veterinary Medicine, Strategic Infection Biology, Dep Gezondheidszorg Landbouwhuisdieren |
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| Jazyk: | angličtina |
| Předmět: |
Male
Cardiac Catheterization medicine.medical_specialty Transposition of Great Vessels medicine.medical_treatment Cattle Diseases Case Report Exercise intolerance Pulmonary Artery Hypoxemia Diagnosis Differential Internal medicine medicine.artery medicine Animals Aorta Cardiac catheterization lcsh:Veterinary medicine General Veterinary business.industry General Medicine veterinary(all) Echocardiography Doppler Color medicine.anatomical_structure Ventricle Great arteries Pulmonary artery Cardiology Heart murmur lcsh:SF600-1100 Cattle medicine.symptom business |
| Zdroj: | BMC Veterinary Research, Vol 7, Iss 1, p 22 (2011) BMC Veterinary Research Veterinary Research, 7(22), doi: 10.1186/1746. BioMed Central |
| ISSN: | 1746-6148 0928-4249 |
| DOI: | 10.1186/1746-6148-7-22 |
| Popis: | Background Complete transposition of the great arteries is a congenital cardiac malformation occasionally encountered in cattle and other species. The objective of the present report was to provide a detailed clinical, echocardiographic and post mortem description of a calf presenting with this condition. Case presentation A 6-week old male Belgian Blue cross-breed calf was examined for respiratory distress and exercise intolerance. The patient was bright, alert and responsive without any neurologic abnormalities but was exercise intolerant, had marked cyanosis, tachycardia, tachypnea, a pansystolic heart murmur as well as a bilaterally palpable thrill over the heart. Arterial blood gas analysis revealed marked hypoxemia (PaO2 = 23 mmHg, O2sat = 41.1%), mild hypercapnia and compensated respiratory acidosis. Echocardiographic examination revealed a complete transposition of the great arteries in combination with a ventricular septal defect through which blood shunted bidirectionally. Cardiac catheterization confirmed that arterialization of blood of the systemic circulation solely occurred in the right ventricle through blood shunting from the left into the right ventricle. Results of post mortem examination are presented. Conclusion Complete transposition of the great arteries is a cyanotic congenital anomaly repeatedly reported in calves that should be considered as differential diagnosis in patients presenting with hypoxemia more severe than commonly encountered with other congenital cyanotic heart conditions. We give a comprehensive summary of the clinical presentation, diagnostic work-up and post mortem examination of a Belgian Blue cross-breed calf with complete transposition of the great arteries |
| Databáze: | OpenAIRE |
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