Open AccessEchocardiography and Surgery in a Dog With Left Atrial Rupture and Hemopericardium
Author(s) -
Sadanaga Kenneth K.,
MacDonald Malcolm J.,
Buchanan James W.
Publication year - 1990
Publication title -
journal of veterinary internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.356
H-Index - 103
eISSN - 1939-1676
pISSN - 0891-6640
DOI - 10.1111/j.1939-1676.1990.tb00900.x
Subject(s) - medicine , hemopericardium , cardiology , ventricle , heart rupture , thoracotomy , pericardial effusion , mitral regurgitation , surgery , cardiac tamponade , myocardial infarction
Endocardial splitting and left atrial rupture were diagnosed in a dog with mitral regurgitation that experienced the sudden onset of collapsing episodes, weakness, depression, labored breathing, and weak pulses. Thoracic radiographs showed a rounded cardiac silhouette with prominent left atrium consistent with hemopericardium due to left atrial rupture. Two‐dimensional echocardiography confirmed the presence of severe mitral valve disease, pericardial fluid, and a laminated blood clot caudal to the left ventricle. A sterile emergency thoracotomy was performed, the hemopericardium and blood clot were removed, and the rupture site in the left atrium was repaired with reinforced sutures. The dog recovered from surgery but died the next day, presumably from a ventricular arrhythmia. (Journal of Veterinary Internal Medicine 1990; 4:216–221)