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Partial Right Ventriculectomy Using the Incised Patch Technique to Treat Double Chambered Right Ventricle and Chylothorax in a Cat |
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| Authors: | DANIEL J. BROCKMAN,BVSc Diplomate ACVS & ECVS,,KATE E. BORER,BVSc Cert VA,Diplomate ECVA,,STEPHEN J. BAINES,MA Vet MB PhD Diplomate ECVS,,DEZ HUGHES,BVSc,Diplomate ACVECC,, VIRGINIA LUIS FUENTES,MA Vet MB PhD Diplomate ACVIM |
| Affiliation: | Department of Veterinary Clinical Sciences, The Royal Veterinary College, University of London, Hawkshead Lane, North Mymms, UK. |
| Abstract: | Objective— To report successful surgical treatment of double chambered right ventricle (DCRV) in a cat. Study Design— Clinical report. Animals— Cat with DCRV. Methods— DCRV was diagnosed in a 5-month-old male Maine Coon cat using echocardiography and angiocardiography. At 2 years, despite medical therapy, chylothorax developed. A section of the right ventricular free wall that spanned the fibromuscular obstruction was excised under total venous inflow occlusion (TVIO) using the incised pericardial patch technique. Results— Short-term recovery was complicated by return of chylothorax but this resolved after thoracocentesis and diuretic therapy. Three years after surgery, the cat is free of clinical signs and no longer on any medical therapy. Conclusions— Partial right ventriculectomy can be performed under TVIO through an incised pericardial patch. Clinical Relevance— DCRV in cat can be successfully treated by partial right ventriculectomy performed under TVIO through an incised pericardial patch. |
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