Migration of a Kirschner wire to the heart in a Yorkshire Terrier
ABSTRACT A 12-year-old, male Yorkshire terrier was presented for acute pulmonary oedema. Thoracic radiographs showed a linear metallic foreign body within the cardiac silhouette. Echocardiogram showed a hyperechoic line extending through the left ventricle, the mitral valve, leading into the left atrium. A 4 cm long Kirschner wire was surgically removed by left fourth thoracotomy. The dog died two days after surgery for acute pulmonary oedema. Necropsy showed thrombi on the mitral leaflets that impeded their movement.
Article: Intracardiac foreign body in a dog.[Show abstract] [Hide abstract]
ABSTRACT: 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.Journal of veterinary cardiology: the official journal of the European Society of Veterinary Cardiology 06/2009; 11(1):53-8. DOI:10.1016/j.jvc.2009.03.002
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ABSTRACT: A 5-year-old male cat is presented for weakness and fatigue. Clinical examination revealed dyspnoea and pain on thoracic palpation. Radiography and echocardiography showed the presence of an intracardiac metallic foreign body (lead rifle pellet). The pellet was located in the interventricular septum at the level of the tricuspid valve. Definitive treatment was not possible but the cat is currently free of symptoms. To the author's knowledge, this is the first description of an intracardiac foreign body in a cat.Pratique Médicale et Chirurgicale de l Animal de Compagnie 07/2010; 45(3):89-92. DOI:10.1016/j.anicom.2010.07.002
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ABSTRACT: Objectives To assess the impact of stabilization method on the complication rate after lateral humeral condylar fracture (LHCF) repair.Study DesignRetrospective multicenter clinical cohort study.AnimalsDogs (n = 151) with LHCF.Methods Medical records (2004–2012) were reviewed for dogs that had surgical repair of LHCF. Data retrieved included signalment, cause of fracture, evidence of incomplete ossification of the humeral condyle, occurrence of postoperative complications, presence of supracondylar comminution preoperatively, and persistence of an intracondylar fissure postoperatively. Outcome was assessed based on the most recent data available and graded as excellent, good, fair, or poor.ResultsLHCF (n = 135) were evaluated in 132 dogs; 61 fractures were stabilized using a transcondylar screw and supracondylar K-wire, 13 using a transcondylar screw and supracondylar screw, and 61 using a transcondylar screw and lateral epicondylar plate. Major complications were significantly (P = .01) more common after stabilization using a transcondylar screw and supracondylar K-wire (28%) than in dogs where a supracondylar screw or lateral epicondylar plate were used (11%). Cases that had postoperative complications were significantly (P = .02) more likely to have a poor outcome.ConclusionsLHCF stabilized using a transcondylar screw and supracondylar K-wire are more likely to have major complications resulting in a poorer outcome than cases stabilized using a supracondylar screw or lateral epicondylar plate.Veterinary Surgery 09/2014; 44(2). DOI:10.1111/j.1532-950X.2014.12276.x · 0.99 Impact Factor