Hypovolemic shock due to spontaneous rupture of the left atrium in a feline: case report
DOI:
https://doi.org/10.33448/rsd-v11i7.29769Keywords:
Auricle rupture; Hemopericardium; Hemothorax; Cat medicine.Abstract
The objective of the present study was to report a case of hypovolemic shock due to rupture of the left atrium in the auricle region in a nine-month-old feline, referred for diagnosis to the Veterinary Pathology Laboratory of the University of Cruz Alta (LPV/UNICRUZ). The animal had a history of sudden death, and the owner reported restlessness and agitation minutes before death. On external inspection of the animal, bloody secretion was observed in the nostrils and pale oral and ocular mucous membranes. Upon opening the thoracic cavity, a large amount of bloody fluid and blood clots were observed, in addition to pulmonary edema and hemopericardium. In the pericardial sac there was also a perforation where bloody fluid flowed. The left atrium had a thin wall and two ruptures in the auricle region. Fragments of organs from the thoracic, abdominal and brain cavities were collected and fixed in 10% buffered formalin. Subsequently, the tissue samples were cleaved, processed and stained by the hematoxylin and eosin technique. The diagnosis of hypovolemic shock due to left atrial rupture was based on the history and macroscopic findings. Thus, the importance of this work in reporting a case considered uncommon in veterinary medicine is highlighted, in order to contribute with important data for the study of the etiology and epidemiology of spontaneous cardiac rupture in felines.
References
Aupperle, H., Marz, I., Ellenberger, C., Buschatz, S., Reischauer, A, & Schoon, H. A. (2007). Primary and secondary heart tumours in dogs and cats. Journal of Comparative Pathology, 136 (1), 18–26.
Barton, L. (2005). Shock resuscitation: a new look at traditional endpoints. Proceedings of the 30th World Small Animal Veterinary Association Congress. México: WSAVA.
Bashour, T., Kabbani, S. S., Ellertson, D. G., Crew, J., & Hanna, E. S. (1983). Surgical salvage of heart rupture: report of two cases and review of th literature. The Annals of Thoracic Surgery, 36, 209-213.
Bonel, J., Raffi, M. B., Vargas, G. D., & Sallis, E. S. (2020). Manual de técnicas de necropsias em animais domésticos (1ª ed.). Curitiba: CRV.
Borgarelli, M., Savarino, P., Crosara, S., Santilli, R. A., Chiavegato, D., Poggi, M., Bellino, C., La Rosa, G., Zanatta, R., Haggstrom. J., & Tarducci, A. (2008). Survival characteristics and prognostic variables of dogs with mitral regurgitation attributable to myxomatous valve disease. J Vet Intern Med, 22, 120-128.
Brady, C. A., Otto, C. M., Winkle, T. J., & King, L. G. (2000). Severe sepsis in cats: 29 cases (1986-1988). Journal of the American Veterinary Medical Association, 217(4), 531-535.
Cheville, N. F. (2009). Distúrbios do equilíbrio hídrico e do volume sanguíneo. In N. F. Cheville, Introdução à patologia veterinária (3ª ed.). São Paulo: Manole.
Daleck, C. R., & De Nardi, A. B. (2016). Oncologia em cães e gatos (2ª ed.). Rio de Janeiro: Roca.
Day, T. K., & Bateman, S. (2007). Síndrome choque. Em L. A. Dibartola, & S. P, Anormalidade de fluidos, eletrólitos e equilíbrio ácido-básico na clínica de pequenos animais (3ª ed., pp. 523-546). São Paulo: Roca.
Dinizl, P., Schwartzll, D. S., & Collicchio-Zuanazel, R. C. (2007). Cardiac trauma confirmed by cardiac markers in dogs: two case reports. Arquivo Brasileiro de Medicina Veterinária e Zootecnia, 59(1), 85-89.
Epstein, S. E., & Balsa, I. M. (2020). Canine and Feline Exudative pleural diseases. Veterinary Clinics of North America: Small Animal Practice, 50(2), 467-487.
Ettinger, S. J., & Feldman, E. C. (2004). Textbook ok veterinary internal medicine (6ª ed.). Philadelphia: Sauders.
Ferasin, L. (2009) Feline myocardial disease 1: classification, pathophysiology and clinical presentation. J Feline Med Surg, (11)13.
Graf, R., Gruntzig, K., Hassig, M., Axhausen, K. W., Fabrikant, S., Welle, M., Meier, D., Guscetti, F., Folkers, G., Otto, V., & Pospischil, A. (2015). Swiss Feline Cancer Registry: A retrospective study of the occurrence of tumours in cats in Switzerland from 1965 to 2008. J Comp Pathol, 153(4), 266-277.
Häggström, J., Pedersen, H. D., & Kvart, C. (2004). New insights into degenerative mitral valve disease in dogs. Veterinary Clinics of North America: Small Animal Practice, 34, 1209-1226.
Herrold, E. J., Donovan, T. A., Hohenhaus, A. E., & Fox, P. R. (2020). Giant pericardial-occupying compressive primary cardiac hemangiosarcoma in a cat. Journal of Veterinary Cardiology, 29, 54-59.
Holanda, M. S., Dominguez, M. J., Lopez-Espadas, F., Lopez, M., Diaz-Reganon, J., & Rodriguez-Borregan, J. C. (2006). Cardiac contusion following blunt chest trauma. European Journal of Emergency Medicine, 13(6), 373-376.
Holowaychuk, M. K., & Martin, L. G. (2006). Misconceptions about emergency and critical care: cardiopulmonary cerebral resuscitation, fluid therapy, shock, and trauma. Emergency and Critical Care Medicine, 420-432.
Kharbush, R. J., Hohenhaus, O. E., Donovan, T. A., & Fox, P. R. (2021). B-cell lymphoma invading and compressing the heart base and pericardium in a cat. Journal of Veterinary Cardiology. 35, 84-89.
King, L. (2008). Update on feline critical care. Proceedings of 33th World Small Animal. Dublin: WSAVA.
Kurt, S., & Kovacevic, A. (2012). Komplikation der chronischen Mitralendokardiose: Vorhofruptur und Herzbeutelerguss. Schweiz. Arch. Tierheilk, 154(9), 397-401.
Kimberly, J., Caruso, R. L., Cowell, M. L., Upton, K. E., Dorsey, J. H., Meinkoth, G. A. Campbell. (2002). Intrathoracic Mass in a Cat. Veterinary Clinical Pathology. 31 (4).
Macdonald, K. (2017). Pericardial diseases. In S. J. Ettinger, E. Feldman, & E. Côté, Textbook of veterinary internal medicine: diseases of the dog and the cat (8ª ed., pp. 3141-3165). St. Louis, Missouri: Elsevier.
Macdonald, K. A., Cagney, O., & Magney, M. L. (2009). Echocardiographic and clinicopathologic characterization of pericardial effusion in dogs: 107 cases (1985- 2006). Journal of the American Veterinary Medical Association, 235(12), 1456-1461.
Mazzaferro, E. M. (2010). Blackwell’s five-minute veterinary consult clinical companion. Small animal emergency and critical care. Ames: Wiley-Blackwell.
McGavin, M. D., & Zachary, J. F. (2013). Bases da patologia em veterinária (2ª ed.). Rio de Janeiro: Elsevier.
Miller, M. W. (2002). Doença pericárdica. In L. P. Tilley, & J. K. Goodwin, Manual de cardiologia para cães e gatos (pp. 239-252). São Paulo: Roca.
Modi, K., Patel, K., Chavali, K. H., Gupta, S. K., & Agarwal, S. S. (2013). Cardiac laceration without any external chest injury in an otherwise healthy myocardium — a case series. Journal Forensic and Legal Medicine, 20(7), 852-854.
Nakamura, R. K., Tompkins, E., Russel, N. J., Zimmerman, S. A., Yuhas, D. L., Morrison, T. J., & Lesser, M. B. (2014). Left atrial rupture secondary to myxomatous mitral valve disease in 11 dogs. Journal of the American Animal Hospital Association, 405-408.
Payne, J., Fuentes, L., Boswood, A., Connolly, D., Koffas, H., & Brodbelt, D. (2010) Population characteristics and survival in 127 referred cats with hypertrophic cardiomyopathy (1997 to 2005). J Small Anim Pract, 51(10), 540-547.
Piegari, G., Priscoa, F., Biase, D. D., Meomartino, L., Fico, R., & Paciello, O. (2018). Cardiac laceration following non-penetrating chest trauma in dog and. Forensic Science International.
Rabelo, R. C. (2008). Fluidoterapia no paciente felino grave. Anais do XXIX Congresso Brasileiro da Anclivepa. Maceió.
Raiser, A. G. (2005). Choque. In R. C. Rabelo, C. J. R, & D. T., Fundamentos de terapia intensiva veterinária em pequenos animais: condutas no paciente crítico (pp. 71-104). Rio de Janeiro: LF Livros.
Raiser, A. G., Castro, J. L. C., Santalucia, S. (2015). Trauma Uma abordagem clínico-cirúrgica (pp.152). Curitiba: MEDVEP.
Reineke, E. L., Burkett, D. E., & Drobatz, K. J. (2008). Left atrial rupture in dogs: 14 cases (1990-2005). Journal of Veterinary Emergency and Critical Care, 18(2), 158-164.
Ressel, L., Hetzel, U., & Ricci, E. (2016). Blunt force trauma in veterinary forensic pathology. Veterinary Pathology, 53(5), 941-961.
Sadanaga, K. K., MacDonald, M. J., & Buchanan, J. W. (1990). Journal of Veterinary Internal Medicine, 4(4), 216–221.
Schwartz, P. J., Pagani, M., Lombardi, F., Malliani, A., & Marrom, A. M. (1973). A cardiocardiac sympathovagal reflex in the cat. Circulation Research, 32(2), 215-220.
Shaffran, N. (2004). Shock overview: cardiogenic and non-cardiogenic shock. Proceedings X International Veterinary Emergency and Critical. San Diego.
Silva, C. E. V., Santos Junior, H. L., Santos, L. F. N., Alvarenga, G. J. R., & Castro, M. B. (2009) Cardiomiopatia hipertrófica em um gato doméstico (felis catus) associada a infarto miocárdico agudo. Ciência Animal Brasileira, 10(1), 335-341.
Tilley, L. P., Goodwin, J. K. (2009). Miocardiopatia Hipertrófica. In Norsworthy, G. D.; Crystal, M.A.; Grace, S. F.; Tilley, L. P. O Paciente Felino (3ª ed., 342-346). São Paulo: Roca.
Turan, A. A., Karayel, F. A., Akyildiz, E., Pakis, I., Uzun, I., Gurpinar, K., Kir, Z. (2010). Cardiac injuries caused by blunt trauma: an autopsy based assessment of the injury pattern. Journal of Forensic Science, 55(1), 82-84.
Ware, W. A. (2014). Cardiovascular system disorders. In R. W. Nelson, & C. Couto, Small animal internal medicine (5ª ed., pp. 1-216). St. Louis, Missouri: Elsevier Mosby.
Wray, J. (2004). Blunt cardiac injury. VRA, 3(1), 3-10.
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Copyright (c) 2022 Stéfani dos Santos Torres; Andressa Trindade Nogueira; Rúbia Schallenberger da Silva; Jennifer Santos dos Santos; Paulo Ricardo Schwingel; Taina dos Santos Alberti
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