Use of an Amplatz Canine Ductal Occluder (ACDO) device to close an acquired aortopulmonary fistula with a hybrid approach in a dog

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• 作者：A. Zani ; DVM^a ; ^{info@cardiovet.eu" class="auth_mail" title="E-mail the corresponding author} ; E. Becchetti ; DVM^a ; T. Chimenti ; DVM^a ; V. Daddi ; DVM^a ; M. Zani^a (Nurse) ; C. Miotti ; DVM^a ; C. Bussadori ; DVM ; MD ; PhD^b
• 关键词：Pulmonary shunt ; Canis lupus familiaris ; Cardiac intervention
• 刊名：Journal of Veterinary Cardiology
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：18
• 期：4
• 页码：377-384
• 全文大小：1047 K

文摘

A 2-year-old recently spayed female Rottweiler was referred as an emergency with cardiac tamponade and the presence of an anomalous retrograde flow in the pulmonary artery. Echocardiography and angiography demonstrated a left-to-right aortopulmonary fistula. Clinical history and data indicated a possible infectious aetiology. Antibiotics and heart failure medications were administered for 30 days before intervention. Initial attempt at insertion of an Amplatz occluder by means of a percutaneous catheterization technique was tried but a safe release of the device was judged to be not possible due to the angle and the fragile and irregular margins of the window. A decision was made to proceed with a hybrid technique combining thoracotomy and direct pulmonary artery catheterization. This hybrid approach was successful with resolution of congestive heart failure with only residual mild paraprosthetic leakage.