Pericardiectomia no cão estudo retrospectivo de onze casos clínicos
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2009
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Várias doenças podem afectar o pericárdio, a maioria das quais origina derrame pericárdico. A pericardiocentese é o tratamento indicado para uma abordagem inicial porém, em animais com
derrames pericárdicos recorrentes ou com doença constritiva, a pericardiectomia é o
tratamento recomendado.
Entre Abril de 2004 e Maio de 2009, no Hospitais Veterinários de Molins e Montenegro, onze cães foram submetidos a pericardiectomia. Neste estudo retrospectivo, a informação obtida das
histórias clínicas destes animais foi analisada, comparada entre si e com bibliografia referente
a doença pericárdica. Na maioria dos casos, para o estabelecimento do diagnóstico, a
realização da pericardiectomia e a obtenção de amostras durante a cirurgia foram
fundamentais. Os diagnósticos efectuados incluíam: hemangiossarcoma do átrio direito,
mesotelioma, derrame pericárdico idiopático, pericardite constritiva-efusiva, pericardite crónica associada a fibrose e pericardite piogranulomatosa.
A pericardiectomia é um tratamento de eleição, permitindo um tratamento paliativo mais eficaz que a pericardiocentese em casos de hemagiossarcoma e apresentando um elevado sucesso
no tratamento da pericardite crónica e piogranulomatosa.
Several diseases may affect the pericardium, most of which lead to pericardial effusion. The pericardiocentesis is the treatment of choice for an initial approach, however in animals with recurrent pericardial effusions or with constrictive disease, pericardiectomy is the recommended treatment. Between April of 2004 and May of 2009, in the Veterinary Hospitals of Molins and Montenegro, eleven dogs were submitted to this surgical technique. In this retrospective study, the information obtained from the clinical histories of these animals was analyzed, compared with itself and with bibliography regarding the pericardial disease. In most of the cases, to establish a diagnosis, pericardiectomy and collecting samples during the surgery were essentials. The diagnosis included: right atrial hemangiosarcoma, mesothelioma, idiopathic pericardial effusion and constrictive-effusive pericarditis, chronic pericarditis associated with fibrosis and pyogranulomatous pericarditis. Pericardiectomy is an election treatment, allowing a palliative treatment more efficient than pericardiocentesis in cases of hemangiosarcoma and presenting an elevated success on treating chronic and pyogranulomatous pericarditis.
Several diseases may affect the pericardium, most of which lead to pericardial effusion. The pericardiocentesis is the treatment of choice for an initial approach, however in animals with recurrent pericardial effusions or with constrictive disease, pericardiectomy is the recommended treatment. Between April of 2004 and May of 2009, in the Veterinary Hospitals of Molins and Montenegro, eleven dogs were submitted to this surgical technique. In this retrospective study, the information obtained from the clinical histories of these animals was analyzed, compared with itself and with bibliography regarding the pericardial disease. In most of the cases, to establish a diagnosis, pericardiectomy and collecting samples during the surgery were essentials. The diagnosis included: right atrial hemangiosarcoma, mesothelioma, idiopathic pericardial effusion and constrictive-effusive pericarditis, chronic pericarditis associated with fibrosis and pyogranulomatous pericarditis. Pericardiectomy is an election treatment, allowing a palliative treatment more efficient than pericardiocentesis in cases of hemangiosarcoma and presenting an elevated success on treating chronic and pyogranulomatous pericarditis.
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Dissertação de Mestrado em Medicina Veterinária