两例犬血管环异常的CT血管造影诊断和手术治疗效果

doi:10.11843/j.issn.0366-6964.2023.10.040

畜牧兽医学报 ›› 2023, Vol. 54 ›› Issue (10): 4433-4438.doi: 10.11843/j.issn.0366-6964.2023.10.040

• 研究简报 • 上一篇

两例犬血管环异常的CT血管造影诊断和手术治疗效果

戴榕全¹, 李慧¹, 张彬¹, 李艺¹, 袁占奎^1,2*

1. 北京中农大动物医院有限公司, 北京 100193;
2. 中国农业大学动物医学院, 北京 100193

收稿日期:2022-11-29 出版日期:2023-10-23 发布日期:2023-10-26
通讯作者: 袁占奎,主要从事小动物外科手术和麻醉的临床、科研及教学工作,E-mail:zk_yuan@cau.edu.cn
作者简介:戴榕全(1988-),女,硕士,北京人,主要从事小动物影像学研究,E-mail:rongquand@126.com
基金资助:
国家自然科学基金（32172899）

Computed Tomography Angiography Diagnosis and Surgery Outcome in Two Vascular Ring Anomaly Dogs

DAI Rongquan¹, LI Hui¹, ZHANG Bin¹, LI Yi¹, YUAN Zhankui^1,2*

1. China Agricultural University Veterinary Teaching Hospital, Beijing 100193, China;
2. College of Veterinary Medicine, China Agricultural University, Beijing 100193, China

Received:2022-11-29 Online:2023-10-23 Published:2023-10-26

摘要/Abstract

摘要： 本文阐述了两例犬血管环异常（vascular ring anomaly，VRA）的CT血管造影（CT angiography，CTA）诊断及手术治疗。通过术前对患犬进行CTA诊断，进行经左侧第4肋间开胸动脉韧带切断的手术治疗，并在术后对病例1进行食道球囊扩张。CTA显示两只犬均存在持久性右主动脉弓（persistent right aortic arch，PRAA），并分别伴有右侧颈动脉异位发育和持久性左前腔静脉。手术治疗后，食道狭窄基本得到纠正，返流消失。CTA可对VRA进行更精确地诊断，并有助于制订具体手术方案；犬PRAA的手术治疗效果良好。

关键词: 血管环异常, 持久性右主动脉弓, 右颈动脉异位发育, 持久性左前腔静脉, CT血管造影, 开胸术

Abstract: This research was conducted to describe computed tomographic angiography (CTA) diagnosis and surgical treatment in two vascular ring anomaly (VRA) dogs. Using CTA to confirm VRA before surgery,which was left 4th intercostal thoracotomy for ligaturing the ligamentum arteriosum. Case 1 was followed by esophageal balloon dilatation. CTA confirmed persistent right aortic arch (PRAA) in both dogs and also revealed other vascular anomalies, ectopic origin of the right carotid artery and persistent left cranial vena cava, respectively. After surgery, the esophageal stenosis was fully corrected, and regurgitation was disappeared. CTA can be used in diagnosis of VRA more accurately, which is of benefit to surgical plan. The surgical treatment for PRAA is effective in dogs.

Key words: vascular ring anomaly, persistent right aortic arch, ectopic origin of the right carotid artery, persistent left cranial vena cava, CT angiography, thoracotomy

中图分类号:

S857.142

戴榕全, 李慧, 张彬, 李艺, 袁占奎. 两例犬血管环异常的CT血管造影诊断和手术治疗效果[J]. 畜牧兽医学报, 2023, 54(10): 4433-4438.

DAI Rongquan, LI Hui, ZHANG Bin, LI Yi, YUAN Zhankui. Computed Tomography Angiography Diagnosis and Surgery Outcome in Two Vascular Ring Anomaly Dogs[J]. Acta Veterinaria et Zootechnica Sinica, 2023, 54(10): 4433-4438.

参考文献 11

[1]	BUCHANAN J W. Tracheal signs and associated vascular anomalies in dogs with persistent right aortic arch[J]. J Vet Intern Med, 2004, 18(4):510-514.
[2]	KREBS I A, LINDSLEY S, SHAVER S, et al. Short-and long-term outcome of dogs following surgical correction of a persistent right aortic arch[J]. J Am Anim Hosp Assoc, 2014, 50(3):181-186.
[3]	OLSON N J, REEMS M R, MONNET E. Surgical treatment of persistent right aortic arch with combined ligamentum arteriosum transection and esophageal diverticulum resection in three dogs[J]. Vet Surg, 2021, 50(5):1157-1163.
[4]	BERTOLINI G. The systemic thoracic vasculature[M]//BERTOLINI G. Body MDCT in small animals. Cham, Switzerland:Springer, 2017:249-264.
[5]	SCHORN C, HILDEBRANDT N, SCHNEIDER M, et al. Anomalies of the aortic arch in dogs:evaluation with the use of multidetector computed tomography angiography and proposal of an extended classification scheme[J]. BMC Vet Res, 2021, 17(1):387.
[6]	KYLES A E. Vascular ring anomalies[M]//BOJRAB M J, MONNET E. Mechanisms of disease in small animal surgery. 3rd ed. Florence:Teton NewMedia, 2012:1469-1473.
[7]	廖云, 郭译文, 李翎旭, 等. 犬多层螺旋CT肝多期增强扫描技术研究[J]. 畜牧兽医学报, 2022, 53(10):3667-3674.LIAO Y, GUO Y W, LI L X, et al. Multiphasic contrast-enhanced multi-slice spiral CT scanning technology of liver in dogs[J]. Acta Veterinaria et Zootechnica Sinica, 2022, 53(10):3667-3674. (in Chinese)
[8]	MULDOON M M, BIRCHARD S J, ELLISON G W. Long-term results of surgical correction of persistent right aortic arch in dogs:25 cases (1980-1995)[J]. J Am Vet Med Assoc, 1997, 210(12):1761-1763.
[9]	TOWNSEND S, OBLAK M L, SINGH A, et al. Thoracoscopy with concurrent esophagoscopy for persistent right aortic arch in 9 dogs[J]. Vet Surg, 2016, 45(S1):O111-O118.
[10]	MACPHAIL C M, MONNET E, TWEDT D C. Thoracoscopic correction of persistent right aortic arch in a dog[J]. J Am Anim Hosp Assoc, 2001, 37(6):577-581.
[11]	NUCCI D J, HURST K C, MONNET E. Retrospective comparison of short-term outcomes following thoracoscopy versus thoracotomy for surgical correction of persistent right aortic arch in dogs[J]. J Am Vet Med Assoc, 2018, 253(4):444-451.

两例犬血管环异常的CT血管造影诊断和手术治疗效果

Computed Tomography Angiography Diagnosis and Surgery Outcome in Two Vascular Ring Anomaly Dogs

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