Intracardiac foreign body in a dog.
A dog that was referred to the University of Florida Veterinary Medical Center was discovered to have a bamboo skewer within the right atrium and right ventricle, traversing the tricuspid valve. The skewer was ingested approximately four months prior to referral and was partially removed via gastrotomy. The presenting complaint at the time of referral included coagulopathy, anemia and leukocytosis. A linear, hyperechoic structure was identified in the right heart during an echocardiogram. The foreign body was suspected to be a portion of the skewer that the patient had previously ingested. Cardiopulmonary bypass was performed and the foreign body was removed successfully. Complications following surgery included the development of tricuspid valve and ventricular wall thrombi, atrial flutter and amiodarone toxicity. Many indications have been described in the veterinary literature for cardiopulmonary bypass. However, to the best of the authors' knowledge, successful removal of an intracardiac foreign body with cardiopulmonary bypass has not been reported in a veterinary patient. This represents a new indication for cardiopulmonary bypass in veterinary medicine.
Sereda
Nicole C
NC
Small Animal Clinical Sciences, University of Florida, College of Veterinary Medicine, 2015 SW 16th Ave., Gainesville, FL 32610, USA. nikki.sereda@edmvetemergency.ca
Towl
Simon
S
Maisenbacher
Herbert W
HW
Bleweis
Mark S
MS
Levy
Julie K
JK
Byrne
Barry J
BJ
Ellison
Gary W
GW
Shih
Andre
A
Coomer
Alastair R
AR
Estrada
Amara H
AH
D000818:Animals; D006348:Cardiac Surgical Procedures / Q000662:veterinary; D002315:Cardiopulmonary Bypass / Q000662:veterinary; D004283:Dog Diseases / Q000473:pathology* / Q000601:surgery; D004285:Dogs; D005260:Female; D005547:Foreign Bodies / Q000601:surgery / Q000662:veterinary*; D006335:Heart Injuries / Q000601:surgery / Q000662:veterinary*