[Patent ductus arteriosus in the dog: a retrospective study of clinical presentation, diagnostics and comparison of interventional techniques in 102 dogs (2003-2011)].
A left-to-right shunting patent ductus arteriosus (PDA) is a common congenital heart defect in dogs. If it is left uncorrected, life expectancy in most cases is decreased due to the development of left-sided congestive heart failure. The aim of this study was to describe the dogs diagnosed with PDA in the Utrecht University Companion Animal Clinic from 2003 to 2011. The medical records of 102 patients were retrieved, and the clinical presentation and outcome of PDA closure by surgical ligation or transarterial catheter occlusion (TCO) were reviewed. In the TCO group, the result of coiling was compared with the placement of an Amplatz Canine Duct Occluder (ACDO). A predisposition to PDA was found in the German Brak, Stabyhoun, and Schapendoes. Dogs treated with surgical ligation were significantly older and heavier than those treated with TCO; within the TCO group, dogs treated with ACDO were significantly older and heavier The initial success rate (complete disappearance of the audible murmur in a patient that survived the procedure) was not significantly different between the different treatment modalities. Major complications were more common with surgical ligation, but the incidence of minor complications was not significantly different. There was no diference in survival between dogs treated with surgical ligation and dogs treated with TCO. This study shows a previously unreported predisposition to PDA in certain breeds. Both surgical ligation and TCO are suitable techniques for PDA closure, although major complications were more common with surgical ligation. ACDO appears to be the method with the least complications and thus can be considered the safest method.
Universiteit van Utrecht, Faculteit Diergeneeskunde, Departement Geneeskunde van Gezelschapsdieren, Yalelaan 108, P.O. Box 80154, 3508 TD Utrecht, Nederland.
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M
Meijer
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NJ
Beijerink
D000367:Age Factors; D000818:Animals; D021721:Balloon Occlusion / Q000662:veterinary; D001807:Blood Vessel Prosthesis / Q000662:veterinary; D001835:Body Weight / Q000502:physiology; D006328:Cardiac Catheterization / Q000662:veterinary; D006348:Cardiac Surgical Procedures / Q000379:methods / Q000662:veterinary*; D004283:Dog Diseases / Q000151:congenital / Q000175:diagnosis* / Q000401:mortality / Q000601:surgery*; D004285:Dogs; D004374:Ductus Arteriosus, Patent / Q000175:diagnosis / Q000401:mortality / Q000601:surgery / Q000662:veterinary*; D005260:Female; D008026:Ligation / Q000662:veterinary; D008297:Male; D010375:Pedigree; D011183:Postoperative Complications / Q000662:veterinary; D012189:Retrospective Studies; D016019:Survival Analysis; D016896:Treatment Outcome