title: Bronchial stent placement in a dog with bronchomalacia and left atrial enlargement.
abstract: A 13-year-old neutered male Maltese was referred for paroxysms of coughing and cyanosis, with radiographic evidence of bronchial disease and cardiomegaly. Investigation with echocardiography, bronchoscopy, fluoroscopy and bronchoalveolar lavage led to a diagnosis of myxomatous mitral valve degeneration with insufficiency, ISACHC class II heart failure and bronchomalacia with severe left mainstem bronchial collapse. Persistence of intractable cough despite medical therapy prompted placement of a stent in the left mainstem bronchus. Immediately after stent placement, severe pulmonary oedema developed, thought to be due to compression of the left atrium by the stent or acute lung injury related to stent placement. The dog recovered over a 3-day period with diuretic therapy and positive end expiratory pressure ventilation. Subsequently, the dog died from congestive heart failure 102 days after stent placement, during which time occasional, self limiting coughing episodes occurred.
authors: North Shore Veterinary Specialist Centre, Crows Nest, NSW, 2065, Australia.
authors: A
authors: A
authors: Dengate
authors: J A
authors: JA
authors: Culvenor
authors: K
authors: K
authors: Graham
authors: J A
authors: JA
authors: Braddock
authors: R K
authors: RK
authors: Churcher
mesh_terms: D000818:Animals; D018893:Bronchoalveolar Lavage / Q000662:veterinary; D055091:Bronchomalacia / Q000175:diagnosis / Q000601:surgery / Q000662:veterinary*; D001999:Bronchoscopy / Q000662:veterinary; D006332:Cardiomegaly / Q000175:diagnosis / Q000473:pathology / Q000601:surgery / Q000662:veterinary*; D004283:Dog Diseases / Q000473:pathology / Q000601:surgery*; D004285:Dogs; D004452:Echocardiography / Q000662:veterinary; D017809:Fatal Outcome; D006325:Heart Atria / Q000473:pathology; D008297:Male; D011654:Pulmonary Edema / Q000209:etiology; D015607:Stents / Q000009:adverse effects / Q000662:veterinary*