Bir Fransız Mastiff’te Ebstein Anomali

Year 2019, Volume: 12 Issue: 4, 469 - 473, 31.12.2019

Turan Civelek Durmuş Fatih Başer Z. Kadir Sarıtaş Ahmet Cihat Tunç

https://doi.org/10.30607/kvj.613494

Abstract

Bu olgu sunumunun materyalini, Afyon Kocatepe
Üniversitesi Hayvan Hastanesine letarji, asites ve ekzersiz intöleransı
şikayetleriyle getirilen 1.5 yaşlı Fransız Mastiff köpek oluşturdu.
Oskültasyonda triküspit kapak seviyesinde şiddetli sistolik murmur ve aritmi
tespit edildi. Radyolojik incelemede pleural effüzyon, sağ atrial dilatasyon ve
total kalp büyümesi belirlendi. Sonrasında gerçekleştirilen ekokardiyografik
muayenede sağ atrial dilatasyon, triküspital maformasyona bağlı olarak orta
derecede triküspital kapak yetmezliği ve triküspit yaprakçıklarının mitral kapak
yaprakçıklarına göre, yaklaşık 2cm apekste yerleşim gösterdiği tespit edildi.
M-mod muayenede kalp yetmezliği bulguları belirlendi (EF=13, FS=6). Abdominal
USG’de ise hematomegali ve asites ana bulgulardı. Tedavi prosedüründe; asit ve
pleural effüzyon kontrollü bir şekilde boşaltıldı. Medikal olarak;
amoksisilin klavunik asit (25mg/kg/IM, bir hafta), furosemid (2mg/kg, PO),
enalapril (0.5mg/kg, PO), pimobendan (0,5mg/kg, PO) ve kardiyak diyet reçete
edildi. Aritmi için digoxin (0.008mg/kg) kullanıldı. Düzenli kontrolleri
gerçekleştirilen hasta tedavi başlangıcından sekiz ay sonra kaybedildi. Ebstein anomali sahip
olduğu tipik ekokardiyografik bulgular nedeniyle "uzman" bir
kardiyolog tarafından kolayca tanınabilir. Ancak çoğu zaman gözden kaçırıldığı
da bir gerçektir. Bu nedenle reel insidansı daha yüksek olabilir.

Keywords

Ekokardiyografi, sağ kalp yetmezliği, pleural effüzyon, köpek, Ebstein anomali

Ebstein Anomaly in a French Mastiff

Abstract

The
material of this case report was a 1.5-year-old French Mastiff dog who was
brought to Afyon Kocatepe University Animal Hospital with complaints of
latergia, ascites and exercise- intolerance. Auscultation revealed severe
systolic murmur and arrhythmia at tricuspid valve level. Radiological
examination revealed pleural effusion, right atrial dilatation and total heart
enlargement. After echocardiographic examination, right atrial dilatation,
moderate tricuspidal valve insufficiency due to tricuspidal maformation and
tricuspid leaflets were located in approximately 2cm apex according to mitral
valve leaflets. M-mode examination revealed signs of heart failure (EF = 13, FS
= 6). In abdominal USG, hematomegaly and ascites were the main findings. In the
treatment procedure, ascites and pleural effusion were evacuated in a controlled
manner. Medically; amoxicillin clavunic acid (25mg / kg / IM, one week),
furosemide (2mg / kg, PO), enalapril (0.5mg / kg, PO), pimobendan (0.5mg / kg,
PO) and cardiac diet were prescribed to the patient. Digoxin (0.008mg / kg) was
used for arrhythmia. The patient, who had regular controls, died eight months
after the start of treatment. Due to the typical echocardiographic findings,
Ebstein's anomaly can be easily recognized by a cardiologist. However, it is
also a fact that it is often overlooked. Therefore, the actual incidence may be
higher.

Keywords

Echocardiography, right heart failure, ascites, pleural effusion, dog, Ebstein anomaly

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