Cor triatriatum dexter of unusual morphology in a miniature schnauzer |
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Affiliation: | 2. Department of Veterinary Sciences, University of Parma, Strada del Taglio, 10, 43126, Parma, Italy;1. Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy;2. Department of Cardiology and Diagnostic Imaging of Clinica Veterinaria Vezzoni, Via Delle Vigne 190, 26100, Cremona, Italy;1. Department of Small Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX, USA;2. Department of Veterinary Pathobiology, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX, USA;1. Clinica Veterinaria Malpensa, AniCura, Viale Marconi, 27, 21017, Samarate, VA, Italy;2. Ospedale Veterinario I Portoni Rossi, AniCura, Via Roma 57, 40069, Zola Predosa, BO, Italy;3. Department of Veterinary Medical Sciences, University of Bologna, Via Tolara di Sopra, 50, 40064, Ozzano Dell''Emilia, BO, Italy;4. Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, 930 Campus Road, 14853, Ithaca, NY, USA |
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Abstract: | A five-year-nine-month-old, male entire, miniature schnauzer presented for further investigation of pleural effusion. Echocardiography revealed a perforated membrane dividing the right atrium into two chambers: the true right atrium (a small, lower-pressure, cranioventral chamber communicating with the tricuspid valve and right ventricle) and the accessory right atrium (a larger, higher-pressure, caudodorsal chamber), consistent with a cor triatriatum dexter. This was confirmed using computed tomography angiography. Imaging studies revealed that both the cranial and caudal vena cava entered the higher-pressure accessory right atrium and the coronary sinus entered both the accessory and true right atrial chambers. This differed from the more usual canine cor triatriatum dexter presentation with the cranial vena cava entering the lower-pressure cranial chamber and the caudal vena cava entering the higher-pressure caudal chamber. Balloon membranostomy was successful in reducing the pressure gradient between the two right atrial chambers with subsequent resolution of the clinical signs. The patient continues to do well after three-years of follow-up. |
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Keywords: | Congenital heart disease Congestive heart failure Echocardiography Canine |
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