DOI QR코드

DOI QR Code

Prolonged reflex bradycardia after occlusion of patent ductus arteriosus with an Amplatz canine duct occluder in a dog

  • Ro, Woong-Bin (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Kang, Min-Hee (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Lee, Chang-Min (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Kim, Seung-Gon (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Park, Hee-Myung (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University)
  • Received : 2016.07.22
  • Accepted : 2016.12.21
  • Published : 2017.03.31

Abstract

A 9-month-old intact male Maltese dog (1.52 kg) was diagnosed with a patent ductus arteriosus (PDA). Transcatheter occlusion of the PDA was performed by using the Amplatz canine duct occluder (ACDO). After occlusion, reflex bradycardia occurred and lasted for at least 15 h with normal systolic arterial pressure and slightly increased diastolic arterial pressure. The bradycardia slowly resolved, and the heart rate was normal in re-examinations after 7 and 30 days. This is the first case of reflex bradycardia after ACDO implantation, in which the bradycardia continued for a long time, even after recovery from anesthesia.

Keywords

References

  1. Billig DM, Shadle OW. Mechanism of reflex bradycardia which follows sudden closure of an arteriovenous fistula. Exp Biol Med 1957, 95, 680-682. https://doi.org/10.3181/00379727-95-23328
  2. Branham HH. Aneurismal varix of the femoral artery and vein following a gunshot wound. Int J Surg (NY) 1890, 3, 250-251.
  3. Broaddus K, Tillson M. Patent ductus arteriosus in dogs. Compend Contin Educ Vet 2010, 32, E3.
  4. Buchanan JW. Prevalence of cardiovascular disorders. In: Fox PR, Sisson D, Moise NS (eds.). Textbook of Canine and Feline Cardiology: Principles and Clinical Practice. 2nd ed. pp. 457-470, WB Saunders, Philadelphia, 1999.
  5. Burchell HB. Observations on bradycardia produced by occlusion of an artery proximal to an arteriovenous fistula (Nicoladoni-Branham Sign). Med Clin North Am 1958, 42, 1029-1035. https://doi.org/10.1016/S0025-7125(16)34255-9
  6. Bussadori C. Congenital cardiopathies. In: Madron E, Chetboul V, Bussadori C (eds.). Clinical Echocadiography of the Dog and Cat. p. 298-303, Elsevier, St. Louis, 2016.
  7. Clutton RE. Cardiovascular disease. In: Seymour C, Duke-Novakovski T (eds.). BSAVA Manual of Canine and Feline Anaesthesia and Analgesia. 2nd ed. p. 217, British Small Animal Veterinary Association, Gloucester, 2007.
  8. Epstein FH, Shadle OW, Ferguson TB, McDowell ME. Cardiac output and intracardiac pressures in patients with arteriovenous fistulas. J Clin Invest 1953, 32, 543-547. https://doi.org/10.1172/JCI102770
  9. Lewis T, Drury AN. Observations relating to arteriovenous aneurysm. Heart 1923, 10, 301.
  10. Nguyenba TP, Tobias AH. The Amplatz canine duct occlude: a novel device for patent ductus arteriosus occlusion. J Vet Cardiol 2007, 9, 109-117. https://doi.org/10.1016/j.jvc.2007.09.002
  11. Nickerson JL, Elkin DC, Warren JV. The effect of temporary occlusion of arteriovenous fistulas on heart rate, stroke volume, and cardiac output. J Clin Invest 1951, 30, 215-219. https://doi.org/10.1172/JCI102435
  12. Pascoe PJ. Thoracic surgery. In: Seymour C, Duke- Novakovski T (eds.). BSAVA Manual of Canine and Feline Anaesthesia and Analgesia. 2nd ed. p. 238, British Small Animal Veterinary Association, Gloucester, 2007.
  13. Singh MK, Kittleson MD, Kass PH, Griffiths LG. Occlusion devices and approaches in canine patent ductus arteriosus: comparison of outcomes. J Vet Intern Med 2012, 26, 85-92. https://doi.org/10.1111/j.1939-1676.2011.00859.x
  14. Van Israel N, French AT, Dukes-McEwan J, Corcoran BM. Review of left-to-right shunting patent ductus arteriosus and short term outcome in 98 dogs. J Small Anim Pract 2002, 43, 395-400. https://doi.org/10.1111/j.1748-5827.2002.tb00090.x
  15. Van Israel N, French AT, Dukes-McEwan J, Welsh EM. Patent ductus arteriosus in the older dog. J Vet Cardiol 2003, 5, 13-21. https://doi.org/10.1016/S1760-2734(06)70040-6