病例報告：犬之多發肌肉型心室中隔缺損與肺動脈瓣膜上狹窄

一隻一個半月齡之雄性黑色長毛臘腸犬，就診時發現病犬有精神沉鬱，食慾不振和呼吸急促之現象，於地方動物醫院診斷為先天性心臟病遂轉診至中興大學獸醫教學醫院。視診尚可見病犬黏膜蒼白且有運動不耐之情形。聽診發現胸腔雙側有V/VI心雜音。觸診股動脈發現脈搏微弱。放射線學檢查顯示心臟擴大。超音波學檢查可見右心房擴張與右心室肥大，嚴重辦膜上肺動脈狹窄、三尖辦逆流、多處心室中隔缺損與心房中隔缺損。心電圖檢查發現，右心室擴大與嚴重的心軸右轉。初步診斷為先天性心房、心室中隔缺損與肺動脈辦膜上狹窄。病犬當日住進加護病房，給予24小時氧氣與治療心衰竭之藥物，但仍於一個星期後死亡。剖檢發現肝臟鬱血，右心房及右心耳極度擴張、右心室嚴重肥大，肌肉型之心室中隔缺損及肺動脈辦膜上狹窄。最終診斷為罕見之犬之多發肌肉型心室中隔缺損合併肺動脈辦膜上狹窄。

關鍵字

多發肌肉型心室中隔缺損；肺動脈瓣膜上狹窄；犬

並列摘要

A 1.5-months-old intact male long-haired Dachshund dog had a history of exercise in- tolerance, anorexia and tachypnea. The dog was referred to VMTH-NCHU for congenital heart disease evaluation. On presentation, the dog manifested depression with pale mucosa. A grade V/VI holosystolic heart murmur was ausculated and the femoral pulses were weak. The dog was diagnosed with supravalvular pulmonary stenosis, multiple muscular ventricular septal defects and atrial septal defect by radiology, echocardiology and electrocardiology. Unfortunately, the dog died one week after presentation. The supravalvular pulmonary stenosis and multiple muscular ventricular septal defects were confirmed by necropsy.

並列關鍵字

Multiple Muscular Ventricular Septal Defects ； Supravalvular Pulmonary Stenosis ； Dog

國際替代計量

病例報告：犬之多發肌肉型心室中隔缺損與肺動脈瓣膜上狹窄

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