Scottish Fold ırkı bir kedide, pectus excavatumun u şekilli eksternal bir splint ile açık operatif sağaltımı

Abstract

4 aylık, 1.9 kg ağırlığında, dişi, scottish shorthair ırkı kedi, Kırıkkale Üniversitesi Veteriner Fakültesi Araştırma ve Uygulama Hastanesine progressif dispne ve egzersiz intoleransı şikayeti ile getirilmiştir. Yapılan klinik ve radyografik muayenelerde sternumun caudal kısmında dorsal deformasyon ve kalbin sol hemitoraksa yer değiştirdiği belirlenmiştir. Operasyondan önce alınan radyografik görüntüler üzerinde yapılan ölçümlerde frontosagittal index (FSI) ve vertebral index (VI) değerleri 3.5 ve 5.1 olarak ölçülmüştür. Operatif sağaltımda, sternal malpozisyonun düzeltilmesi amacıyla PVC materyalinden hazırlanan eksternal splint, sternebraların etrafından geçirilen sutür materyali ile toraksa sabitlenmiştir. Operasyon sonrası hasta 8 hafta süreyle takip edilmiştir. Operasyondan beş hafta sonra eksternal splint çıkartılmış ve alınan radyografiler üzerinde FSI ve VI değerleri 1.4 ve 11.3 olarak ölçülmüştür. Hastanın postoperatif süreçte dispne ve egzersiz intoleransı problemlerinin ortadan kalktığı görülmüştür. Bunun gibi kemik gelişiminin henüz tamamlanmadığı hayvanlarda eksternal splint uygulamasının başarılı sonuçlar verdiği belirlenmiştir.

Keywords

• eksternal splint
• kedi
• pectus excavatum

Open surgical correction combined with an u-shaped external splint for pectus excavatum in a Scottish fold cat

Abstract

A 4 month-old, 1.9 kg, female, Scottish fold cat was brought to Kırıkkale University Veterinary Faculty Research and Practice Hospital with complaints of progressive dyspnea and exercise intolerance. Dorsal deformation in the caudal part of the sternum and displacement of the heart into the left hemithorax were determined in the clinical and radiographic examinations. In the measurements made on the radiographic images taken before the operation, the frontosagittal index (FSI) and vertebral index (VI) values were measured as 3.5 and 5.1, respectively. An external splint made of PVC material is fixed to the thorax with suture material passed around the sternebrae, in order to correct the sternal malposition in intraoperative treatment. The patient was followed for 8 weeks after the operation. The external splint was removed five weeks after the operation, and the FSI and VI values were measured as 1.4 and 11.3 on the radiographs, respectively. In the postoperative period, it was observed that the patient’s problems such as dyspnea and exercise intolerance disappeared. In animals with bone development yet to be completed, it has been determined that external splint application gives successful results.

Keywords

• External splint
• cat
• pectus excavatum

References

1. Boudrieau RJ, Fossum TW, Hartsfield SM, et al (1990): Pectus Excavatum in dogs and cats. Comp Cont Ed Pract Vet, 12, 341-355.
2. Charlesworth T (2017): Pectus excavatum: congeniral thoracic deformity in cats. In Practice February, 39, 73-78.
3. Charlesworth TM, Schwarz T, Sturgess CP (2016): Pectus excavatum: Computed tomography and medium-term surgical outcome in a prospective cohort of 10 kittens. J Feline Med Surg, 18, 613-619.
4. Charlesworth TM, Sturgess CP (2012): Increased incidence of thoracic wall deformities in related Bengal kittens. J Feline Med Surg, 14, 365–368.
5. Crigel MH, Moissonnier P (2005): Pectus excavatum surgically repaired using sternum realignment and splint techniques in a young cat. J Small Anim Pract, 46, 352-356.
6. Crump HW (1992): Pectus Excavatum. Am Farm Physician, 46, 173-179.
7. Fonkalsrud EW (2000): Surgical management of pectus excavatum. Oper Tech Thorac Cardiovasc Surg, 5, 94-102.
8. Fossum TW, Boudrieau RJ, Hobson HP (1989): Pectus excavatum in eight dogs and six cats. J Am Anim Hosp Assoc, 25, 595-605.

9. Gradner G (2014): Thoracic wall. In: Langley-Hobbs SJ, Demetrious JL, Ladlow JF, eds. Feline Soft Tissue and General Surgery. Saunders Elsevier, 497.
10. Mestrinho LA, Ferreira CA, Lopes AM, et al (2012): Open surgical correction combined with an external splint for correction of a non-compliant pectus excavatum in a cat. J Feline Med Surg, 14,151-154.
11. McAnulty JF, Harvey CE (1989): Repair of pectus excavatum by percutaneus suturing and temporaryexternal coaptation in a kitten. JAVMA, 194, 1065-1067.
12. Özer K, Karabağlı M, Akgül Ö, et al (2017): Surgical treatment result of young and adult cats with pectus excavatum. Kafkas Üniv Vet Fak Derg, 23, 699-705.
13. Ravitch MM (1949): The operative treatment of pectus excavatum. Ann Surg, 129, 429.
14. Risselada M, Rooster H, Liuti T, et al (2006): Use of internal splinting to realign a noncompliant sternum in a cat with pectus excavatum. JAVMA, 228, 1.
15. Shires PK, Waldron DR, Payne J (1988): J Pectus Excavatum in three Kittens. Am Hosp Assoc, 24, 203-208.
16. Singh M, Parrah JD, Moulvi BA, et al (2013): A Review on Pectus Excavatum in Canines: A Congenital Anomaly. Iranian Journal of Veterinary Surgery, 8, 18.
17. Skoracki RJ, Chang DW (2006): Reconstruction of the chest wall and thorax. J Surg Oncol, 9, 455.
18. Smallwood JE, Beaver BV (1977): Congenital chondrosternal depression (pectus excavatum) in the cat. J Am Vet Radiol Soc, 18,141–146.
19. Sturgess CP, Waters L, Gruffydd-Jones TJ, et al (1997): An investigation into the association between whole blood and tissue taurine levels in flat chests and pectus excavatum in neonatal Burmese kittens. Vet Rec, 141, 566–570.
20. Yaygingul R, Kibar B, Suner I, et al (2016): Pectus excavatum in a cat: A case report. Vet Med (Praha), 61, 409-411.
21. Yoon HY, Mann FA, Jeong SW (2008): Surgical correction of pectus excavatum in two cats. J Vet Sci, 9, 335-337.