Thoracic and abdominal aortic dissection in a hypertensive hyperthyroid cat


Publiée : Jan 18, 2024
Mis à jour : 2024-01-18
C Veciana Basse
I Testault
Résumé

Aortic dissection is an uncommon finding in both dogs and cats. The precise pathophysiological mechanisms responsible for the development of aortic dissection remain unclear. In humans, aortic dissection is usually secondary to another systemic disease, such as systemic arterial hypertension, an abnormality of connective tissues or a parietal trauma. This is a case of an aortic dissection in a hypertensive hyperthyroid cat, presenting with haemorrhagic pericardial effusion. The dissection affected both thoracic and abdominal aorta, with histopathological confirmation. This case is an example of the utility of both thoracic and abdominal ultrasound for the diagnosis of aortic dissection in cats and it highlights the importance of rigorous clinical examination. Aortic dissection should be considered in the differential diagnosis of pericardial effusion in cats. Further investigations are fundamental to understand how dissections develop and extend to achieve good clinical results.


REFERENCES



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Références
Biasatoet al. (2017) Pulmonary artery dissection causing haemothorax in
a cat: potential role of Dirofilariaimmitis infection and literature review. Journal of Veterinary Cardiology. 19(1):82-87.
Braverman et al. (2012) Diseases of the aorta. In: Braunwald’s Heart
Disease. A textbook of cardiovascular medicine. 9thedn. Eds Bonow
R, Mann D, Zipes D, Libby P. Elsevier Saunders, Philadelphia, pp
-1331.
Chetboulet al. (2006) Quantitative assessment of velocities of the annulus of the left atrioventricular valve and left ventricular free wall in
healthy cats by use of two-dimensional colour tissue Doppler imaging. Am. J. Vet. Res. 2006, 67: 250-258.
Cojocaru et al. (2013) Evaluation of oxidative stress in patients with acute
ischemic stroke. Romanian Journal of Internal Medicine. 51(2):97-
D’Anconaet al. (2014) Computational analysis to predict false-lumen
perfusion and outcome of type B aortic dissection. The Journal of
Thoracic and Cardiovascular Surgery. 148 (4):1756-1758.
Gouniet al. (2018) Aortic dissecting aneurysm associated with systemic
arterial hypertension in a cat. Schweiz Arch Tierheilkd. 160(5):320-
Liao et al. (2008) A proteomic study of the aortic media in human thoracic
aortic dissection: implication for oxidative stress. Journal of Thoracic
and Cardiovascular Surgery. 136(1):65-72.
Liu et al. (2016) Ursodeoxycholic acid attenuates acute aortic dissection
formation in angiotensin II-infused apolipoprotein E-deficient mice
associated with reduced ROS and increased Nrf2 levels. Cellular
Physiology and Biochemistry. 38(4): 1391-1405.
Luis Fuentes et al. (2020) ACVIM consensus statement guidelines for the
classification, diagnosis, and management of cardiomyopathies in
cats. Journal of Veterinary Internal Medicine. 34(3):1062-1077.
Oriccoet al. (2019) Aortic dissection in four cats: clinicopathological correlations. Journal of Veterinary Cardiology. 25:52-60.
Phillippi et al. (2009) Basal and oxidative stress-induced expression of
metallothionein is decreased in ascending aortic aneurysms of bicuspid aortic valve patients. Circulation. 119(18):2498-2506.
Qin et al. (2016) Dynamic monitoring of platelet activation and its role in
post-dissection inflammation in a canine model of acute type A aortic
dissection. Journal of Cardiothoracic Surgery. 11(1):86.
Qing et al. (2012) Ex-vivo haemodynamic models for the study of Stanford type B aortic dissection in isolated porcine aorta. European Journal of Vascular and Endovascular Surgery. 44(4):399-405.
Waldrop et al. (2003) Aortic dissection associated with aortic aneurysms
and posterior paresis in a dog. Journal of Veterinary Internal Medicine. 17(2):223-229.
Wang et al. (2013) An experimental model of Stanford type B aortic dissection with intravenous epinephrine injection. Kaohsiung Journal of
Medical Sciences. 29(4):194-199.
Wey AC, Atkins CE (2000). Aortic dissection and congestive heart failure
associated with systemic hypertension in a cat. Journal of Veterinary
Internal Medicine. 14(2):208-213.