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Persistent truncus arteriosus in a cat
Institution:1. Ecole Nationale Vétérinaire de Lyon, 1 Avenue Bourgelat, BP 83, 69280 Marcy l''Etoile, France;2. Ecole Nationale Vétérinaire d''Alfort, 7 Avenue du Général de Gaulle, 94704 Maisons-Alfort, France;3. University of Pennsylvania, School of Veterinary Medicine Section of Radiology, 3900 Delancey Street, Philadelphia, PA 19104-6010, USA;1. Department of Clinical Sciences, Colorado State University, 300 West Drake Rd., Fort Collins, CO 80525, USA;2. Department of Medical Sciences, School of Veterinary Medicine, University of Wisconsin, 2015 Linden Dr., Madison, WI 53706, USA;1. University of Wisconsin, School of Veterinary Medicine, Department of Medical Sciences (Cardiology), 2015 Linden Drive, Madison, WI 53706, USA;2. University of Wisconsin, School of Medicine and Public Health, Department of Radiology, 600 Highland Avenue, Madison, WI 53792, USA;3. University of Wisconsin, School of Veterinary Medicine, Department of Surgical Sciences (Radiology and Surgery), 2015 Linden Drive, Madison, WI 53706, USA;4. University of Wisconsin, School of Medicine and Public Health, Department of Urology, 1685 Highland 21 Avenue, Madison, WI 53705, USA;1. Department of Small Animal Clinical Sciences, Virginia-Maryland College of Veterinary Medicine, 205 Duck Pond Dr, Blacksburg, VA 24061, USA;2. Department of Veterinary Science, University of Turin, Largo Paolo Braccini 2, 10095 Grugliasco, Turin, Italy
Abstract:A 5-month-old male domestic cat presented with a history of rapid, heavy breathing and cyanosis after exercise. Physical examination showed an abnormal respiratory pattern with an increased rate and stress-induced cyanosis. Auscultation revealed tachycardia and a grade 5/6 systolic murmur best heard over the left base. Radiographs showed evidence of right atrial and ventricular enlargement with distended pulmonary vessels and an enlarged ascending aorta. An echocardiographic examination revealed a dilated right atrium, eccentric right ventricular hypertrophy and an overriding aorta associated with a large ventricular septal defect (VSD). The pulmonary trunk could not be identified by echocardiography. Doppler and saline contrast studies showed large right-to-left shunting through the VSD. These findings were compatible with persistent truncus arteriosus, which was confirmed at necropsy.
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