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.
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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 Medicale Et Chirurgicale De L Animal De Compagnie - PRAT MED CHIR ANIM CIE. 01/2010; 45(3):89-92.
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ABSTRACT: A dog evaluated for acute onset of neurologic clinical signs was discovered to have a porcupine quill traversing the left atrium with fungal endocarditis. The dog had been quilled by a porcupine one month prior to presentation and had had several quills removed from the thoracic inlet and left dorsal shoulder areas. A new murmur was identified during the initial examination. Echocardiographic changes consistent with mitral valve endocarditis were identified, in addition to a linear, hyperechoic structure in the left atrium. A thoracic CT identified a possible mediastinal migrating foreign body tract. The foreign body was surgically removed and confirmed as a porcupine quill. Routine aerobic cultures of blood and pericardial samples resulted in growth of presumptive candidal organisms. PCR amplification and sequencing of samples from pericardial cultures identified the presence of a fungal organism, Lodderomyces elongisporus. The neurologic signs were attributed to a left-sided central vestibular lesion presumed secondary to an embolic event from infective endocarditis. After 3 months of antimicrobial and antifungal therapy the valvular changes had markedly improved and the clinical signs resolved. To the authors' knowledge, this is the first description of fungal endocarditis secondary to an intracardiac foreign body in a dog. Published by Elsevier B.V.Journal of veterinary cardiology: the official journal of the European Society of Veterinary Cardiology 10/2014;
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.