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Porcupine Quill Migration in the Thoracic Cavity of a German Shorthaired Pointer

机译:豪猪刺穿在胸腔迁移德国短毛指示犬

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A 7 yr old German shorthaired pointer presented with progressive respiratory distress and lethargy. Two weeks prior to presentation, the dog had porcupine quills removed from the left forepaw, muzzle, and sternal area. At the time of presentation, the dog had bounding pulses and friction rubs in the right dorsal lung field. Harsh lung sounds and decreased lung sounds were ausculted in multiple lung fields. Radiographs revealed a pneumothorax and rounding of the cardiac silhouette suggestive of pericardial effusion. Computed tomographic imaging was performed and revealed multiple porcupine quills in the thoracic cavity. Surgery was performed and quills were found in multiple lung lobes and the heart. Following surgery the dog remained hypotensive. A post-operative echocardiogram revealed multiple curvilinear soft-tissue opacities in the heart. Given the grave prognosis the dog was subsequently euthanized and a postmortem examination was performed. A single porcupine quill was discovered in the left atrium above the mitral valve annulus. The quill extended across the aortic root, impinging on the coronary artery below the level of the aortic valve. To the authors' knowledge, this is the first known report of porcupine quill migration through the heart.
机译:一个7岁德国短毛指示犬进行性呼吸困难和无精打采。狗有豪猪的从左边前掌,枪口和胸骨。演讲中,狗有边界脉冲摩擦摩擦在正确的背侧肺野。严厉的肺的声音和降低肺的声音在多个肺ausculted字段。揭示了气胸和舍入心脏轮廓心包的暗示积液。并显示多个豪猪的执行在胸腔。在多个肺叶和鹅毛笔被发现的心。低血压患者。显示多个曲线软组织透明的心。狗和随后被实施安乐死尸检。豪猪鹅毛被发现在左心房高于二尖瓣环。扩展在主动脉根部,侵犯冠状动脉主动脉的水平以下阀门。首次报告豪猪刺穿迁移通过心脏。

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