The surgical repair of a congenital peritoneopericardial diaphragmatic hernia in Maine Coon cat https://doi.org/10.12982/VIS.2021.036
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Abstract
A 1-year-old female Maine Coon cat presented with a history of labored breathing and intermittent cough. Thoracic radiography revealed a diaphragmatic hernia; echocardiography showed adhesions of a hepatic lobe and gall bladder to the left myocardium. After a final diagnosis of peritoneopericardial diaphragmatic hernia (PPDH), a surgical treatment was successfully done to repair the congenital PPDH. Blood transfusion was performed during surgical correction to ameliorate the excessive blood loss during liver lobectomy. This surgical technique can close the diaphragmatic defect and be used as a treatment option to prevent further herniation and reduce compliance with heart failure complications. Surgical treatment provides an excellent outcome for cats with a congenital pericardial-diaphragmatic anomaly. However, severe hemorrhage may occur with the abdominal organ’s adhesion to the pericardium, such as the liver. This study described the diagnosis and surgical treatment. The surgical procedure may provide the information for further successful treatment in the feline congenital pericardial defect.
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References
Banz, A.C., Gottfried, S.D., 2010. Peritoneopericardial diaphragmatic hernia: a retrospective study of 31 cats and eight dogs. J Am Anim Hosp Assoc. 46, 398-404.
Barrett, R.B., and Kittrell, J.E. 1966. Congenital peritoneopericardial diaphragmatic hernia in a cat. Vet Radiol 7(1),21-26.
Berry, C.R., Koblik, P.D., Ticer, J.W., 1990. Dorsal peritoneopericardial mesothelial remnant as an aid to the diagnosis of feline congenital peritoneopericardial diaphragmatic-hernia. Vet Radiol. 31, 239-245.
Burns, C.G., Bergh, M.S., McLoughlin, M.A., 2013. Surgical and nonsurgical treatment of peritoneopericardial diaphragmatic hernia in dogs and cats: 58 cases (1999-2008). J Am Vet Med Assoc. 242, 643-650.
Fossum, T.W., 2007. Surgery of the lower respiratory system: pleural cavity and diaphragm. In: Fossum TW, ed. Small Animal Surgery. 3rd ed. St. Louis: Mosby, Inc., pp. 896-929.
Hoek, I., Payne, J.R., Feugier, A., Connolly, D.J., 2018. Inter-observer variability for cardiac ultrasound measurements in cats repeated at different time points in early adult life. Vet Anim Sci. 5, 44-46.
Hodgkiss-Geere, H.M., Palermo, V., Liuti, T., Philbey, A.W., Marques, A., 2015. Pericardial cyst in a 2-year-old Maine Coon cat following peritoneopericardial diaphragmatic hernia repair. J Feline Med Surg. 17(4), 381-386.
Khan, S., Sajik, D., Calvo, I., Phillips, A., 2019. Novel peritoneopericardial diaphragmatic hernia in a dog. Vet Rec Case Rep 7, e000896. doi: 10.1136/vetreccr-2019-000896.
Kovacich, J.C., Boyle, E.M. Jr., Needle, D., Maier, R.V., 2001. Iatrogenic intrapericardial diaphragmatic hernia associated with cardiac tamponade. J Trauma. 50(1), 136-139.
Legallet, C., Thieman, K., Mankin, L., Selmic, E., 2017. Prognostic indicators for perioperative survival after diaphragmatic herniorrhaphy in cats and dogs: 96 cases (2001-2013). BMC Vet Res. 13(16), 10.1186/s12917-016-0926-y.
Linton, M., Tong, L., Simon, A., Buffa, E., McGregor, R., Labruyére, J., Foster, D., 2016. Hepatic fibrosarcoma incarcerated in a peritoneopericardial diaphragmatic hernia in a cat. JFMS Open Rep. 17; 2(1), 2055116916638681.
Margolis, C., Zakošek Pipan, M., Demchur, J., Or, M., Henthorn, P., Casal, M.L., 2018. Congenital peritoneopericardial diaphragmatic hernia in a family of Persian cats. JFMS Open Rep. 4(2), 2055116918804305.
Reimer, S.B., Kyles, A.E., Filipowicz, D.E., Gregory, C.R., 2004. Long-term outcome of cats treated conservatively or surgically for peritoneopericardial diaphragmatic hernia: 66 cases (1987-2002). J Am Vet Med Assoc. 224(5), 728-732.
Rosenstein, D.S., Reif, U., Stickle, R.L., Watson, G., Schall, W., Amsellem, P., 2001. Radiographic diagnosis: pericardioperitoneal diaphragmatic hernia and cholelithiasis in a dog. Vet Radiol Ultrasound. 42(4), 308-310.
Statz, G.D., Moore, K.E., Murtaugh, R.J., 2007. Surgical repair of a peritoneopericardial diaphragmatic hernia in a pregnant dog. J Vet Emerg Crit Care. 17, 77-85.
Wallace, J., Mullen, H.S., Lesser, M.B., 1992. A technique for surgical correction of peritoneal pericardial diaphragmatic hernia in dogs and cats. J Am Vet Med Assoc. 28, 503-510.